Caesarian Scar Pregnancy - A Diagnostic Dilemma

Authors

  • Pratiksha Gupta Department of Gynecology and Obstetrics, Post graduate Institute of Medical Sciences and Research, ESIC, Basaidarapur, New Delhi,India.
  • Anju Huria Department of Gynecology and Obstetrics, Government Medical College & Hospital, Chandigarh, India.
  • Dilpreet Kaur Department of Gynecology and Obstetrics, Government Medical College & Hospital, Chandigarh, India.
  • Reeti Mehra Department of Gynecology and Obstetrics, Post graduate Institute of Medical Sciences and Research, ESIC, Basaidarapur, New Delhi,India.

DOI:

https://doi.org/10.31729/jnma.2826

Keywords:

scar pregnancy; caesarian section; methotrexate.

Abstract

Caesarean scar pregnancy is one of the rarest forms of ectopic pregnancy. Transvaginal ultrasound and color flow Doppler provides a high diagnostic accuracy. A delay in diagnosis and treatment can lead to uterine rupture, major hemorrhage, hysterectomy and serious maternal morbidity and mortality. Early diagnosis can offer treatment options of avoiding uterine rupture and hemorrhage, thus preserving the uterus and future fertility. Primary health care provider should know about this rare entity, because if diagnosed timely, and referral to specialized centre is done without delay will definitely save maternal morbidity and mortality. Management plan should be individualized. Termination of pregnancy is the treatment of choice in the first trimester. Expectant treatment has a poor prognosis because of risk of rupture. In this case report we aim to discuss the associated diagnostic dilemma, most appropriate methods of diagnosis and management, with their implications in clinical practice.
Keywords: scar pregnancy; caesarian section; methotrexate. | PubMed

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Published

2016-06-30

How to Cite

Gupta, P., Huria, A., Kaur, D., & Mehra, R. (2016). Caesarian Scar Pregnancy - A Diagnostic Dilemma. Journal of Nepal Medical Association, 54(202), 88–90. https://doi.org/10.31729/jnma.2826

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Section

Case Reports

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