Viable Caesarean Scar Pregnancy: A Case Report | [Biomedica • 2020]

Author(s):

1. Saima Najam: Dr. Sulaiman ALHabib Hospital, Sweidi, Riyadh, Saudi Arabia

2. Sumaiyya Ejaz Malik: Dr. Sulaiman ALHabib Hospital, Sweidi, Riyadh, Saudi Arabi

3. Shehla Aqeel: Fatima Memorial Hospital, Lahore, Pakistan

4. Nida Rizwan: Combined Military Hospital, Lahore, Pakistan

5. Ali Raza Haider: DVM Pharma, Lahore, Pakistan

Abstract:

Ectopic pregnancy is a pregnancy in which blastocyst is implanted at a site other than the endometrium. When it is partially or completely implanted with in the scar it is known as caesarean scar ectopic pregnancy (CSP). It is a very rare form of the ectopic pregnancy and most of the literature available is in the form of case reports and case series. In the succeeding report of a case, a 31 years old gravida-4 para-2 with one miscarriage and one caesarean section presented in emergency department with the amenorrhea of 9 weeks and 5 days. She had moderate abdominal pain and vaginal bleeding. After in-patient evaluation she was diagnosed of having viable CSP, necessitating termination of pregnancy. The challenge after the diagnosis was to remove the CSP and retain future fertility without increasing the morbidity. Uterine artery embolization (UAE) followed by the laparotomy and excision of the ectopic pregnancy was carried out to reduce the risk of the hemorrhage. Early and accurate diagnosis is the key and should be followed by individualized prompt treatment in expert hands. A multidisciplinary approach is essential to reduce the overall morbidity and help retaining the future fertility of the patient.

Page(s): 10-14

DOI: DOI not available

Published: Journal: Biomedica, Volume: 36, Issue: 1, Year: 2020

Keywords:

ectopic pregnancy , Cesarean scar pregnancy CSP , Uterine artery embolization UAE

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