Ruptured caesarean scar ectopic pregnancy: a rare case report

Jain, Shuchi; Chaudhary, Swati; Jain, Neha; Ranjan, Rita

doi:10.18203/2320-1770.ijrcog20151331

Cited by 3 publications

(2 citation statements)

References 5 publications

(6 reference statements)

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“…The presentation of the scar ectopic pregnancy may be at 5–6 weeks to 16 weeks. [ 7 ] In the present case, the patient was admitted to our hospital at 12 weeks. The timely decision of hysterectomy prevented further complications.…”

Section: Discussionmentioning

confidence: 95%

Caesarean scar ectopic pregnancy masquerading as gestational trophoblastic disease

Jashnani

Sangoi

Pophalkar

et al. 2022

Journal of Postgraduate Medicine

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Cesarean scar ectopic pregnancy (CSEP) is a very rare form of ectopic pregnancy in which implantation occurs at the site of the previous cesarean scar with low or absent beta-human chorionic gonadotropin (hCG) levels. It has various differential diagnoses on gross and microscopic examination. A delay in the identification and management of this condition may lead to life-threatening complications. Here, we discuss the incidence and clinicopathological features of chronic CSEP, its types, and differential diagnoses.

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Section: Discussionmentioning

confidence: 95%

Caesarean scar ectopic pregnancy masquerading as gestational trophoblastic disease

Jashnani

Sangoi

Pophalkar

et al. 2022

Journal of Postgraduate Medicine

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“…Incidence of CSP among ectopic pregnancies is 6.1% and seen in approximately 1 in 2000 normal pregnancies. 1 Recent rise in incidence is believed to be due to increased rate of cesarean delivery. 2 It is associated with maternal morbidity, secondary infertility, and mortality.…”

Section: Introductionmentioning

confidence: 99%

Ruptured Cesarean Scar Pregnancy: A Case Report

et al. 2019

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Cesarean scar pregnancy is a rare variant of ectopic pregnancy where the fertilized ovum gets implanted in the myometrium of the previous cesarean scar. The incidence of CSP among ectopic pregnancies is 6.1% and it is seen in approximately 1 in 2000 normal pregnancies.As trophoblastic invasion of the myometrium can result in uterine rupture and catastrophic hemorrhage termination of pregnancy is the treatment of choice if diagnosed in the first trimester. Expectant treatment has a poor prognosis and may lead to uterine rupture which may require hysterectomy and subsequent loss of fertility. We present a case report of a 24year old femaleG2P1L1with ruptured cesarean scar pregnancy who underwent emergency laparotomy and subsequently hysterectomy. In this case report, we aim to discuss ruptured cesarean scar pregnancy as obstetric emergency and methods by which we can make an early diagnosis that can be managed appropriately as to prevent maternal morbidity and mortality.

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First Trimester Uterine Rupture: A Case Report and Literature Review

Cecchini

Tassi

Londero

et al. 2020

IJERPH

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The aim is to report a case of spontaneous uterine rupture in the first trimester of pregnancy and to review the literature on the topic. Methods: A literature search was performed using PubMed and Scopus. Relevant English articles were identified without any time or study limitations. The data were aggregated, and a summary statistic was calculated. Results: A 35-year-old gravida 5, para 2 was admitted at our department because of fainting and abdominal pain. The woman had a first-trimester twin pregnancy and a history of two previous cesarean sections (CSs). Suspecting a uterine rupture, an emergency laparotomy was performed. The two sacs were completely removed, and the uterine rupture site was closed with a double-layer suture. The patient was discharged from hospital four days later in good condition. On the basis of this experience, a total of 76 case reports were extracted from PubMed and included in the review. Fifty-three patients out of 76 (69.74%) underwent previous surgery on the uterus. Most women (67.92%) had a CS, and in this group a cesarean scar pregnancy (CSP) or a placenta accreta spectrum (PAS) disorder was found to be the etiology in 77.78% of cases. Furthermore, 35.85% of the women had hysterectomy after uterine rupture. Twenty-three patients out of 76 (30.26%) had an unscarred uterus. Of this group, most women presented a uterine anomaly (43.48%). Moreover, 17.39% of these women had a hysterectomy. Conclusion: According to the literature, the current pandemic use of CS explains most cases of first-trimester uterine rupture.

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Ruptured caesarean scar ectopic pregnancy: a rare case report

Cited by 3 publications

References 5 publications

Caesarean scar ectopic pregnancy masquerading as gestational trophoblastic disease

Caesarean scar ectopic pregnancy masquerading as gestational trophoblastic disease

Ruptured Cesarean Scar Pregnancy: A Case Report

First Trimester Uterine Rupture: A Case Report and Literature Review

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