The New Indian Journal of OBGYN. 11(2):395-399

Cesarean scar ectopic pregnancy - a case series

Basanta Manjari Hota, Naimisha Movva, Swathi Pandirla

ABSTRACT

Cesarean scar ectopic pregnancy, though rare, is a life threatening condition. The incidence is increasing with increasing number of cesarean sections. It develops, if blastocyst implants in the micro defect in the scar which is formed in the process of healing. Transvaginal sonography is the primary investigating test in its diagnosis. No definite treatment protocol is yet available because of limited number of case reporting. Surgical as well as medical with or without surgical is the treatment adopted depending on various factors. We present here a case series of five cases of scar ectopic pregnancy with gestational age between 6-19 weeks over a period of 7 months, which were managed surgically. One patient died of cardiac arrest on 8th postoperative day. Reporting of cases to develop awareness, high index of suspicion in high-risk women, diagnosis and treatment at the earliest is the key to better prognosis.