Open AccessPartial Molar Caesarean Scar Pregnancy- A Case Report
Author(s) -
Usha Justa,
Geetika Gupta Syal,
Rita Mittal,
Shruti Jha,
Jyotika Bala
Publication year - 2021
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2021/49239.15052
Subject(s) - medicine , hysterectomy , wedge resection , caesarean section , gestational trophoblastic disease , uterus , surgery , obstetrics , methotrexate , ectopic pregnancy , pregnancy , gestation , resection , biology , genetics
Caesarean Scar Pregnancy (CSP) is a rare entity. Gestational Trophoblastic Disease (GTD) in a CSP is exceedingly rare. This can lead to complications like rupture uterus, severe haemorrhage, hypovolemia which may require hysterectomy, endanger a woman’s life, her future fertility and death. As no therapeutic protocols have been established about this rare condition, it is difficult to diagnose and manage. The case report describes a patient, 26-year-old gravida 2 para 1, was diagnosed with a CSP with partial mole. She was treated with systemic Methotrexate (MTX) followed by surgery-wedge resection of ectopic mass and repair of uterus. Patient remained on β-hCG follow-up with us. The management of CSP requires high clinical suspicion and immediate action with combination of various treatment modalities. Primary caesarean section rate must be reduced by performing caesareans only for justified reasons, so as to decrease the incidence of scar pregnancies.