Caesarean Scar Ectopic Pregnancy: A Case Series at Tertiary Care Centre Jhalawar

Abstract

Background and Method: The aim of this study to collect cases of caesarean scar pregnancy and do retrospective case series study to describe the newer entity, clinical condition scar ectopic pregnancy and the evolution of diagnosis, treatment modalities and outcome. The incidence of Caesarean scar ectopic pregnancy has been increasing in recent times. Probably the rising caesarean rate around the world responsible for it. We are reporting five cases of Caesarean scar ectopic pregnancies during the duration of 18 months, out of which 2 cases were confirmed by ultrasonography and rest were suspected during dilatation and evacuation and diagnosed on exploratory laparotomy, were confirmed by histopathological report. All cases were managed surgically. Out of 5 cases uterus  were saved in 4 cases.

Conclusion: Scar ectopic pregnancy is a dangerous and life threatening condition with increasing occurrence in recent years because the incidence of caesarean delivery increased. The success of treatment depends on diagnostic accuracy. Accurate and early diagnosis would reduce the chances of hysterectomy, multiple blood transfusion, maternal morbidity, maternal mortality and preserve fertility.

Keywords: Caesarean scar, ectopic pregnancy, laparotomy

Study Designed: observational retrospective case series