A Rare Case Presentation Of Cesarean Scar Ectopic Pregnancy.

Bhandari Rekha; Bhandari Ruchi; Tripathi Shashi Lara; Poddar Pratima

Volume : VII, Issue : X, October - 2018

A Rare Case Presentation Of Cesarean Scar Ectopic Pregnancy.

Bhandari Rekha, Bhandari Ruchi, Tripathi Shashi Lara, Poddar Pratima

Abstract :

Hemorrhage after first trimester abortion is usually abnormal. Painless vaginal bleeding can be caused by abnormal placentation, coagulopathy or procedure complications such as perforation and retained product of conception. Cesarean scar ectopic pregnancy is the rarest of all ectopic pregnancies. We are reporting a rare case of gravida 3 para 2 living 2 with previous two cesarean section deliveries, having cesarean scar ectopic pregnancy with intra–myometrial hematoma presented to hospital with pain in lower abdomen and bleeding per vaginally since two months. Diagnosis was done by serum βhCG, ultrasonography and diagnostic hysteroscopy. Patient underwent laparoscopy to evacuate intra–myometrial hematoma and remaining mass of conception along the previous cesarean scar. On histopathological examination product of conceptions were confirmed with findings of decidua, trophoblastic tissue and chorionic villi. Early diagnosis and prompt management of intra–myometrium hematoma and caesarean scar ectopic pregnancy can decrease maternal mortality and morbidity.