Caesarean Scar Ectopic Pregnancy: Report of Two Cases
Cases of Caesarean Scar Ectopic Pregnancy (CSEP) are becoming increasingly common at tertiary care hospitals because of increase in rate of CS. This condition is often complicated by life threatening bleeding, uterine rupture, which might require hysterectomy leading to permanent infertility. Mana...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7848/18075_CE(RA1)_F(T)_PF1(VSUAK)_PFA(AK)_PF2(EKAK).pdf |
| Summary: | Cases of Caesarean Scar Ectopic Pregnancy (CSEP) are becoming increasingly common at tertiary care hospitals because of increase
in rate of CS. This condition is often complicated by life threatening bleeding, uterine rupture, which might require hysterectomy leading
to permanent infertility. Management can be medical, surgical or combined depending on the clinical presentation. It includes systemic
methotrexate or local uterine artery chemoembolisation, dilatation and curettage, excision of trophoblastic tissue either by laparoscopy
or laparotomy with uterine repair. We report two such cases managed medically in our hospital. Both the cases presented to us
were asymptomatic except amenorrhoea and were diagnosed by transvaginal sonography. First case was managed with systemic
methotrexate followed by Dilatation and Curettage (D&C). Second case was managed with systemic methotrexate alone successfully. |
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| ISSN: | 2249-782X 0973-709X |