Case Report
Year: 2021 | Month: May | Volume: 11 | Issue: 5 | Pages: 358-361
DOI: https://doi.org/10.52403/ijhsr.20210556
Cesarean Scar Ectopic Pregnancy
Sunil V. Jagtap1, Nitin Kshirsagar2, Ramnik Singh3, Shreya Tuli4, Parneet Kaur5, Swati S. Jagtap6
1Professor, Department of Pathology, Krishna Institute of Medical Sciences Deemed University, Karad, India.
2Professor, Department of Obstetrics & Gynecology, Krishna Institute of Medical Sciences Deemed University, Karad, India.
3,4,5Assistant Lecturer, Department of Pathology, Krishna Institute of Medical Sciences Deemed University, Karad, India.
6Associate Professor, Department of Physiology, Krishna Institute of Medical Sciences Deemed University, Karad, India.
Corresponding Author: Sunil Vitthalrao Jagtap
ABSTRACT
Caesarean Scar Ectopic Pregnancy (CSEP) is one of the rarest forms of ectopic pregnancy. We present a 30 year female presented with 8 weeks of amenorrhea. Her obstetric history was G3P2D2. Her B HCG levels were >10,000 IU/L. She had history of previous 2 lower uterine segment Caesarean section. She was referred to our hospital in stage of severe hypovolemic shock related to vaginal bleeding. USG findings were suggestive of death of fetus of about 6 weeks 5 days. Gestational -sac at lower uterine segment Caesarean section scar level. Radiological diagnosis was? Scar pregnancy. On histopathology diagnosed as Caesarean scar ectopic pregnancy with area of rupture in anterolateral wall of lower uterine segment and upper cervix. The endometrium was unremarkable. We are presenting this case for its rarity, clinical radiological and histopathological findings.
Key words: Scar ectopic pregnancy, Uterine rupture, Gestation, Caesarean section.