A CASE STUDY ON A RARE SCENARIO OF CESAREAN SCAR ECTOPIC PREGNANCY

Abstract

Cesarean scar Ectopic pregnancy (CSEP) is a potentially life-threatening pregnancy of which incidence has increased in the past decades due to an increase in cesarean deliveries. CSEPs are an underdiagnosed condition and can be a life-threatening condition which may lead to hemorrhage or uterine rupture. In the present study, a 30-year-old pregnant female presented herself with the complaint of pain and bleeding with a history of two lower segment cesarean sections (LSCS). Upon investigation, a decision for immediate laparotomy was made to remove the ectopic pregnancy and to avoid further complications. Pre-operative embolization of the uterine arteries was done to prevent excessive bleeding. Early diagnosis along with prompt intervention, is very important for proper care. Using sonography combined with Doppler flow imaging followed by magnetic resonance imaging can be helpful for a proper prognosis. Thus, a multidisciplinary approach involving obstetrics, gynecology, and radiology can help in the management of such rare and complex cases.