Abstract
Introduction:
Cesarean scar ectopic pregnancy is a rare form of pregnancy with potential life-threatening complications such as severe hemorrhage, uterine rupture, and emergency hysterectomy Currently, there is no consensus regarding a standardized treatment algorithm for this specific variant of ectopic pregnancies.
Case Description:
This case describes a 28-year-old female with history of two prior cesarean sections who was diagnosed with cesarean section scar ectopic pregnancy. Initial management with intramuscular methotrexate was unsuccessful in the setting of inadequate decrease in β-hCG level. The patient ultimately underwent surgical management with dilation and suction evacuation under ultrasound guidance for removal of the ectopic pregnancy. Following surgery, the patient continued to have an appropriate downward trend of β-hCG, indicating a successful result of the procedure.
Discussion:
The objective of this case report is to review this case of cesarean scar ectopic pregnancy, identify various treatment modalities for this condition, and analyze their success rates and possible reasons for failure based on literature review. We conclude that the wide use of methotrexate for cesarean section ectopic pregnancies should be reconsidered and minimally invasive techniques such as the double-balloon catheter procedure be further researched.
Recommended Citation
Daley HE, Hansen AR, Raju P, Buerger J. Management Strategies of Cesarean Section Ectopic Pregnancy: A Case Report. Transformative Medicine. 2024; 3(3):102-105. doi: https://doi.org/10.54299/tmed/jrhl2864.