Ruptured Cesarean Scar Pregnancy: A Case Report

  • Prishita Shah Department of Obstetrics and Gynaecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
  • Rosina Manandhar Departmentof Obstetrics and Gynecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
  • Meena Thapa Departmentof Obstetrics and Gynecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
  • Rachana Saha Departmentof Obstetrics and Gynecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Keywords: cesarean; hysterectomy; maternal mortality; pregnancy; scar; uterine rupture.

Abstract

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.

Published
2019-06-30
How to Cite
Shah, P., Manandhar, R., Thapa, M., & Saha, R. (2019). Ruptured Cesarean Scar Pregnancy: A Case Report. Journal of Nepal Medical Association, 57(217). https://doi.org/10.31729/jnma.4465
Section
Case Reports