gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

A rare case reporting history of CS scar ectopic managed expectantly ending in placenta previa then its recurrence in next pregnancy and managed by hysteroscopic resection: A case report and literature review


Author(s): Mohamed I Taema*, Ibrahim ali and Amr Sobhy

Introduction: A Cesarean scar ectopic pregnancy (CSEP) sometimes causes life-threatening bleeding and many treatment strategies have been proposed; expectant management, methotrexate administration, surgical evacuation, hysteroscopic resection, uterine artery embolization, or combination of them. We here report a patient: she had CSEP, which was managed expectantly and yielded placenta previa. Then, next, she had recurrent CESP, which was resected hysteroscopically with success.

Case Presentation: The patient had abdominal pain and vaginal bleeding. Ultrasound and magnetic resonance imaging revealed the image-findings indicative of CSEP compatible with 5 weeks of pregnancy. Hysteroscopic resection of CSEP was performed with success.

Conclusion: CSEP can recur and physicians should be aware of this. Hysteroscopic resection may be an option of the treatment of CSEP.