Caesarean Section Scar Ectopic Pregnancy: A Case Report

Abstract

Dr. Khuloud Ajaj, Dr. Laila Benhamida, Dr. Najwa Eljabu and Dr. Abeer Ben Younes

Background Cesarean section scar ectopic pregnancy is recognized rare pregnancy complication which occurring in the myometrium of a previous scar of cesarean delivery with estimated rate one in 2000 pregnancies. Various management modalities for CSEP depend on the case presentation ranges from expectant or conservative management, medically with methotrexate, or surgical excision by hysteroscopy or laparoscopy or laparotomy, vacuum aspiration can be used to remove the ectopic scar.

Methods And Patient A case report of caesarean section scar ectopic pregnancy presented at obstetrics and gynecology department in Tripoli university hospital on 5th September 2022, which experience profuse vaginal bleeding, drowsy, pallor her hemoglobin concentration was 7.6 g/dl and Beta HCG at admission was 5664 mIU/ml with history of insufficient antenatal care compliance on current pregnancy that confused the diagnosis of CSSEP for incomplete abortion. The patient undergone individual management and follow up till became significantly heath condition improved either clinically or laboratory.

Comments The cesarean scar ectopic pregnancy is considered as a rare type of ectopic pregnancy with difficult diagnosis and individual management according to health situation at presentation. Therefore, early recognition and proper assessment of CSEP is critical to achieve adequate management and to reduce related maternal morbidity and mortality.

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