VARYING CLINICAL PRESENTATIONS OF CESAREAN SCAR ECTOPIC IN TERTIARY CARE CENTRE

Abstract

Introduction: Cesarean scar pregnancy [CSP] is the implantation of gestational sac within the myometrium of prior caesarean surgery scar. The incidence of caesarean scar ectopic is 1 in 2000 normal pregnancies. CSP possess great risk for maternal haemorrhage, placenta accreta spectrum and uterine rupture. Women with caesarean scar ectopic usually present early. Pain and bleeding are common. However 40% of women are asymptomatic. Diagnosis is made by routine USG examination. Rarely early rupture can lead to abdominal pregnancy. To study various Aims And Objectives: clinical presentations, management, outcome of 3 caesarean scar pregnancies at a tertiary care centre. Materials And Methods: Retrospective study done in Department of Obstetrics and Gynaecology at Government Hospital Guntur from June 2021- June 2022. Sample size -3 Results: Out of 3 cases Ÿ One was presented with bleeding p/v as ?incomplete abortion Ÿ Other 2 cases were presented with pain abdomen with ?unruptured tubal ectopic Procedure: Ÿ Exploratory laparotomy with scar ectopic excision and repair Ÿ Exploratory laparotomy followed by sub total hysterectomy Conclusion: Cesarean scar ectopic is a rare and potentially life threatening ectopic pregnancy. Diagnosis of CSP could be done by comprehensive history taking and examination. Ultrasound is the main modality to identify. Early diagnosis and intervention is very important to decrease morbidity and mortality of Cesarean Scar Ectopic