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Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Case Report

A Case Report of Cesarean Scar Pregnancy in the Late First Trimester With an Alive Fetus

Author(s): Sanaz Moosavi, Nahideh Afshar Zakariya* and Fatemeh Abbas Alizadeh

Volume 20, Issue 2, 2024

Published on: 27 March, 2023

Article ID: e220223213878 Pages: 5

DOI: 10.2174/1573404820666230222093056

Price: $65

Abstract

Background: Cesarean scar pregnancy is one of the rare and challenging forms of ectopic pregnancy in treatment. Surgical and medical treatment options are available. Nevertheless, no approach is superior.

Case Presentation: The present case reports a 29 years-old lady, presented with 12 weeks and 6 days, cesarean scar pregnancy without any symptoms, with a live fetus that underwent curettage two times.

Conclusion: We can use curettage frequently for CSP treatment without methotrexate and, without side effects of other treatments.

Graphical Abstract

[1]
Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG 2007; 114(3): 253-63.
[http://dx.doi.org/10.1111/j.1471-0528.2006.01237.x] [PMID: 17313383]
[2]
Grechukhina O, Deshmukh U, Fan L, et al. Cesarean scar pregnancy, incidence, and recurrence: five-year experience at a single tertiary care referral center. Obstet Gynecol 2018; 132(5): 1285-95.
[http://dx.doi.org/10.1097/AOG.0000000000002940] [PMID: 30303911]
[3]
Patel BS, Kedia N, Shah SR, Agrawal SP, Patel VB, Patel AB. Changing trends in cesarean section: From 1950 to 2020. Int J Reprod Contracept Obstet Gynecol 2020; 9: 2222-6.
[4]
Jain S, Jain N, Chaudhary S. Embryo implantation in the region of a previous caesarean section scar and scar dehiscence in second trimester: A rare case report. J Obstet Gynaecol India 2016; 66(S2): 613-6.
[http://dx.doi.org/10.1007/s13224-016-0874-2] [PMID: 27803523]
[5]
Deepika TG, Gupta T, Wahi S. A rare case report of caesarean scar ectopic pregnancy. J Clin Diagn Res 2017; 11(8): QD10-1.
[PMID: 28969218]
[6]
Jurkovic D, Hillaby K, Woelfer B, Lawrence A, Salim R, Elson CJ. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar. Ultrasound Obstet Gynecol 2003; 21(3): 220-7.
[http://dx.doi.org/10.1002/uog.56] [PMID: 12666214]
[7]
Gonzalez N, Tulandi T. Cesarean scar pregnancy: a systematic review. J Minim Invasive Gynecol 2017; 24(5): 731-8.
[http://dx.doi.org/10.1016/j.jmig.2017.02.020] [PMID: 28268103]
[8]
Litwicka K, Greco E. Caesarean scar pregnancy. Curr Opin Obstet Gynecol 2011; 23(6): 415-21.
[http://dx.doi.org/10.1097/GCO.0b013e32834cef0c] [PMID: 22011956]
[9]
Cignini P, Giorlandino M, Caserta L, Dominici L, Giorlandino C. The importance of early diagnosis in cesarean scar pregnancy. J Prenat Med 2007; 1(2): 29-31.
[PMID: 22470822]
[10]
Timor-Tritsch IE, Monteagudo A, Santos R, Tsymbal T, Pineda G, Arslan AA. The diagnosis, treatment, and follow-up of cesarean scar pregnancy. Am J Obstet Gynecol 2012; 207(1): 44.
[http://dx.doi.org/10.1016/j.ajog.2012.04.018] [PMID: 22607667]
[11]
Pirjani R, Bayani L, Shirazi M. Successful local and systemic medical treatment of cesarean scar pregnancy and a subsequent term pregnancy after treatment: a case series. Iran J Reprod Med 2015; 13(7): 445-50.
[PMID: 26494993]
[12]
Salari N, Kazeminia M, Shohaimi S, Nankali AD, Mohammadi M. Evaluation of treatment of previous cesarean scar pregnancy with methotrexate: a systematic review and meta-analysis. Reprod Biol Endocrinol 2020; 18(1): 108.
[http://dx.doi.org/10.1186/s12958-020-00666-0] [PMID: 33168010]
[13]
Qian ZD, Weng Y, Du YJ, Wang CF, Huang LL. Management of persistent caesarean scar pregnancy after curettage treatment failure. BMC Pregnancy Childbirth 2017; 17(1): 208.
[http://dx.doi.org/10.1186/s12884-017-1395-4] [PMID: 28666477]
[14]
Timor-Tritsch IE, Cali G, Monteagudo A, et al. Foley balloon catheter to prevent or manage bleeding during treatment for cervical and Cesarean scar pregnancy. Ultrasound Obstet Gynecol 2015; 46(1): 118-23.
[http://dx.doi.org/10.1002/uog.14708] [PMID: 25346492]
[15]
Timor-Tritsch IE, Monteagudo A, Bennett TA, Foley C, Ramos J, Kaelin Agten A. A new minimally invasive treatment for cesarean scar pregnancy and cervical pregnancy. Am J Obstet Gynecol 2016; 215(3): 351.e1-8.
[http://dx.doi.org/10.1016/j.ajog.2016.03.010] [PMID: 26979630]
[16]
Fu LP. Therapeutic approach for the cesarean scar pregnancy. Medicine 2018; 97(18): e0476.
[http://dx.doi.org/10.1097/MD.0000000000010476] [PMID: 29718837]
[17]
Sugawara J, Senoo M, Chisaka H, Yaegashi N, Okamura K. Successful conservative treatment of a cesarean scar pregnancy with uterine artery embolization. Tohoku J Exp Med 2005; 206(3): 261-5.
[http://dx.doi.org/10.1620/tjem.206.261] [PMID: 15942155]

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