Open AccessCesarean Scar Ectopic Pregnancy in Second Trimester A Case Report
Author(s) -
Fowzia Yasmin,
Muna Shalima Jahan,
Irin Parveen Alam,
Md. Towhidur Rahman,
Parul Akhter,
Sanjida Nahid
Publication year - 2022
Publication title -
sir salimullah medical college journal
Language(s) - English
Resource type - Journals
ISSN - 1813-0437
DOI - 10.3329/ssmcj.v29i2.58980
Subject(s) - medicine , ectopic pregnancy , laparotomy , uterine rupture , pregnancy , hysterectomy , caesarean section , obstetrics , gestation , myometrium , surgery , uterus , gynecology , genetics , biology
Cesarean scar ectopic pregnancy (CSEP) is one of the rarest form of ectopic pregnancy. It is characterized by a gestation implanted in a caesarean section scar and surrounded by the myometrium and the fibrous tissue of the scar. With rising cesarean delivery rates and widespread use of ultrasound in early pregnancy, there is a parallel upward trend in the incidence of CSEP. The most significant risk associated with a CSEP is an early uterine rupture with life threatening maternal hemorrhage leading to hysterectomy and loss of reproductive potential. An early diagnosis can offer conservative treatment options capable of preserving the uterus. Here we present a case 25-year-old G-3, P2(both LSCS - lower segment cesarean section), admitted at her 17 weeks of pregnancy with per vaginal spotting and diagnosed as a case of missed abortion. All her vitals were normal. Three days after her admission she was diagnosed with cesarean scar ectopic pregnancy and managed by laparotomy followed by total abdominal hysterectomy.
Sir Salimullah Med Coll J 2021; 29(2): 172-175