Caesarean scar pregnancy – case report

Czech version

Authors: V. Karásek
Authors‘ workplace: Gynekologicko-porodnické oddělení, Masarykova městská nemocnice v Jilemnici, prim. MUDr. Z. Vocásek
Published in: Ceska Gynekol 2015; 80(5): 382-385

Overview

Objective:
The aim of this article is to bring attention to possible occurrence of rare ectopic gravidity located in hysterotomy after previous caesarean section.

Design:
Case report.

Setting:
Department of Obstetrics and Gynaecology, Masaryk Municipal Hospital Jilemnice.

Case report:
We report a case of 36 years old patient with caesarean scar pregnancy primary solved by hysteroscopic resection, secondary due to severe bleeding solved by laparotomic excision.

Conclusion:
Taking into consideration growing number of caesarean section it is necessary to count with more frequent occurrence of caesarean scar pregnancy. Early diagnosis is important for successful treatment and thus for preservation of patient`s fertility.

Keywords:
caesarean scar pregnancy, ectopic gravidity, caesarean section

Sources

1. Ash, A., Smith, A., Maxwell, D. Caesarean scar pregnancy. BJOG, 2007, 114(3), p. 253–263.

2. Kučera, E., Křepelka, P., Krofta, L., Feyereisl, J. Ektopická gravidita v jizvě po císařském řezu. Čes Gynek, 72, 2007, 3, s. 207–213.

3. Osborn, DA., Williams, TR., Craig, BM. Cesarean scar pregnancy: sonographic and magnetic resonance imaging findings, complications, and treatment. J Ultrasound Med, 2012, 31(9), p. 1449–1456.

4. Rotas, MA., Haberman, S., Levgur, M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol, 2006, 107(6), p. 1373–1381.

5. Timor-Tritsch, IE., Monteagudo, A. Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review. Am J Obstet Gynecol, 2012, 207(1), p. 14–29.

6. Timor-Tritsch, IE., Monteagudo, A., Santos, R., et al. The diagnosis, treatment, and follow-up of cesarean scar pregnancy. Am J Obstet Gynecol, 2012, 207(1), p 44.e1-44e13.