CONSERVATIVE SURGICAL MANAGEMENT OF CESAREAN SCAR ECTOPIC PREGNANCY: A CASE REPOR

Author:

Bhatia Ruby1,Surabhi Purnima2,Pal Kaur Sukhbir3

Affiliation:

1. Professor and HOD, Department of Obstetrics and Gynecology, Maharishi Markendeshwar Institute of Medical Sciences and Research, Mullana, Haryana.

2. MBBS, Postgraduate 3 year Resident, Department of Obstetrics and Gynecology, Maharishi Markendeshwar Institute of Medical Sciences and Research, Mullana, Haryana

3. Associate Professor, Department of Obstetrics and Gynecology, Maharishi Markendeshwar Institute of Medical Sciences and Research, Mullana, Haryana.

Abstract

Cesarean scar ectopic pregnancy is a complex iatrogenic pathology occurring in 1:1,800 to 1:2,200 of all pregnancies. It is associated with high maternal morbidity and mortality; therefore, early diagnosis and effective management are of utmost signicance. Symptoms include amenorrhea, pelvic pain and vaginal bleeding in the rst trimester. The investigation of choice is transvaginal ultrasound. In equivocal cases, magnetic resonance imaging can help in conrming the diagnosis. Treatment modalities are dictated by the case presentation, gestational age and size, type of implantation, hemodynamic stability, and patient's desire for future fertility. We report a rarest case of caesarean scar ectopic pregnancy managed by conservative surgical approach after failed medical management

Publisher

World Wide Journals

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