Abstract
Cesarean scar pregnancy is one of the rarest forms of ectopic pregnancy. Little is known about its incidence and natural history. The diagnosis and treatment of cesarean scar pregnancy (CSP) is challenging. The authors reported here a case of cesarean scar pregnancy (CSP) with hypovolemic shock that underwent emergency laparotomy with resection of ectopic mass. The patient was discharged from the hospital without any complications.
Highlights
Cesarean scar pregnancy (CSP) is an ectopic pregnancy implanted in the myometrium at the site of a previous cesarean section scar [1]
Several types of conservative treatment have been used such as dilatation and curettage, excision of trophoblastic tissues [7, 8], local and/or systemic administration of methotrexate [9], bilateral hypogastric artery ligation associated with trophoblastic evacuation, and selective uterine artery embolization combined with curettage and/or MTX administration [10, 11]
In this paper we describe a case of viable cesarean scar pregnancy that was presented with hypovolemic shock and successfully treated via hysterotomy and evacuation of pregnancy
Summary
Cesarean scar pregnancy (CSP) is an ectopic pregnancy implanted in the myometrium at the site of a previous cesarean section scar [1]. It is a rare and life-threatening condition [2]. Laparotomy followed by wedge resection of the lesion (hysterotomy) should be considered in women who do not respond to conservative medical and/or surgical treatments or present too late [12, 13]. Some consider this as the best treatment option [2]. In this paper we describe a case of viable cesarean scar pregnancy that was presented with hypovolemic shock and successfully treated via hysterotomy and evacuation of pregnancy
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