Description
CHRONIC ECTOPIC CESAREAN SCAR PREGNANCY
A CASE REPORT
Ritu V Jain
Consultant Gynaecologist & Infertility Expert- Shri Mahaveer Hospital.
Assistant Professor- RIMS, Medical College,Raipur, CG, India.
One of unforeseen consequences of our increasing reliance on cesarean delivery is gestation in cesarean scar. Cesarean scar pregnancy (CSP) is a rare entity and can cause serious complications. First case of CSP was reported by Larsen and Solomon in 1978 2 as a postabortal haemorrhage -uterine scar sacculus. Since then, cases have been reported leading to a better understanding.
Liberal use of imaging studies helps early detection and avoid complications like scar rupture and excessive hemorrhage, which may require a hysterectomy. Patients who are vitally stable have more treatment options including conservative management.
In this paper, we describe a case of cesarean scar pregnancy which presented as a case of suspected cervical pregnancy/ cervical abortion that was treated successfully by timely, systematic approach and anticipatory preparation for torrential hemorrhage.
CONCLUSION - Present day clinician should be aware of such a condition and have a high index of suspicion. As there are no evidence based recommendations available, clinicians will have to depend on available case reports and counsel women accordingly on various treatment options available to make informed choice.
Corresponding Author-
Ritu V Jain
MBBS, MS, MICOG, FMAS, CIMP.
Consultant Gynaecologist & Infertility Expert- Shri Mahaveer Hospital.
Assistant Professor- RIMS, Medical College,Raipur, CG, India.
Add- B- building, 'Dani Villa',
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Email- bijaleejain@yahoo.com
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