Caesarean scar pregnancy: hysterotomy is rapid and safe management option

Arch Gynecol Obstet. 2014 Aug;290(2):381-3. doi: 10.1007/s00404-014-3206-8. Epub 2014 Mar 19.

Abstract

Caesarean scar pregnancy (CSP) is implantation of the gestational sac within the hysterotomy scar. Ultrasound is the main diagnostic tool. Early diagnosis and termination of pregnancy is crucial to avoid the risk of uterine rupture. The termination modalities available are dilatation and curettage, methotrexate therapy, hysteroscopy, uterine artery embolization and laparotomy. We present a case of undisturbed CSP which presented at 6 weeks + 6 days gestation. Our management was termination of pregnancy by exploratory laparotomy and hysterotomy for excision of the mass. The postoperative period was uneventful and there was rapid decline of beta human chorionic gonadotrophin to the normal level.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biomarkers / blood
  • Cesarean Section / adverse effects*
  • Chorionic Gonadotropin, beta Subunit, Human / blood
  • Cicatrix / complications*
  • Female
  • Humans
  • Hysterotomy*
  • Pregnancy
  • Pregnancy, Ectopic / diagnostic imaging*
  • Pregnancy, Ectopic / surgery*
  • Ultrasonography

Substances

  • Biomarkers
  • Chorionic Gonadotropin, beta Subunit, Human