Caesarean scar ectopic – A case series of three cases managed with diverse modalities of treatment

The incidence of ‘Caesarean scar ectopic pregnancy’ has been increasing in recent times. Probably the rising caesarean rate around the world responsible for it. We are reporting three cases of Caesarean scar ectopic pregnancies, suspected clinically and confirmed by sonography of the uterus. Each of the three cases was managed with different modalities of treatment. Case one was operated by open laparotomy, case two underwent laparoscopy and case three was managed with medical treatment without surgery. Uterus could be saved in all three cases.

[1]  C. Hsieh,et al.  New ultrasound grading system for cesarean scar pregnancy and its implications for management strategies: An observational cohort study , 2018, PloS one.

[2]  G. Lin,et al.  First-trimester diagnosis and management of Cesarean scar pregnancies after in vitro fertilization-embryo transfer: a retrospective clinical analysis of 12 cases , 2015, Reproductive Biology and Endocrinology.

[3]  J. Donnez,et al.  Laparoscopic repair of post-cesarean section uterine scar defects diagnosed in nonpregnant women. , 2013, Journal of minimally invasive gynecology.

[4]  A. Smith,et al.  Caesarean scar pregnancy , 2007, BJOG : an international journal of obstetrics and gynaecology.

[5]  K. Seow,et al.  Cesarean scar pregnancy: issues in management , 2004, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[6]  D. Fylstra Ectopic Pregnancy Within a Cesarean Scar: A Review , 2002, Obstetrical & gynecological survey.

[7]  I Timothy,et al.  Expectant Management of Cesarean Scar Ectopic Pregnancy: A Case Report , 2020 .

[8]  D. Grigoraș,et al.  Laparoscopic Resection of Cesarean Scar Ectopic Pregnancy after Unsuccessful Systemic Methotrexate Treatment. , 2019, Journal of minimally invasive gynecology.