Caesarean Scar Ectopic Pregnancy: A Rare Form of Ectopic Pregnancy; Case Report

Abstract

Cesarean scar ectopic pregnancy (CSEP) is a rare but potentially life-threatening condition in which the embryo implants in scar tissues of a previous cesarean section rather than in endometrial cavity. Cesarean scar ectopic pregnancy is often considered as asymptomatic and is primarily diagnosed by ultrasound. Management of Cesarean scar ectopic pregnancy remains a challenge clinically due to lack of standardized treatment protocol globally. Society for Maternal Fetal Medicine strongly advises against continuing pregnancy in this condition due to high risk of different complications, such as maternal morbidity and mortality. Thus, early diagnosis, mainly in women with a history of cesarean section is essential to prevent severe complications such as uterine rupture and massive hemorrhage. The current case report describes the case of 38 years old women diagnosed with Cesarean scar ectopic pregnancy. The patient was initially treated for three weeks conservatively before undergoing surgical procedure successfully.