Caesarean Scar Ectopic Pregnancy Complicated by Uterine Rupture at 10 Weeks Gestation

Abstract

Abstract

Background:

Cesarean scar pregnancy (CSP) is a rare type of ectopic pregnancy that becomes implanted at the site of a previous cesarean section scar. It may lead to horrible consequences, such as uncontrolled bleeding and uterine rupture (UR), which might require hysterectomy and result in subsequent loss of fertility.

Case:

This report covers a case of a CSP complicated by UR at 10 weeks gestation in a 25-year-old woman after development of an acute abdomen. Conservative management of the uterus was used, with removal of the sac and repair of the uterine scar.

Results:

The patient's postoperative period was uneventful, and she was discharged 5 days after her surgery had occurred.

Conclusions:

CSP should be detected early to prevent its catastrophic sequences. Although it is a rare complication of cesarean section, CSP must be kept in the minds of obstetricians facing emergency cases. (J GYNECOL SURG 33:261)