Ruptured Cesarean Scar Pregnancy: A Case Report
DOI:
https://doi.org/10.46799/ijssr.v3i9.539Keywords:
cesarean scar pregnancy, ectopic pregnancy, rareAbstract
Ectopic pregnancy is defined as implantation outside the uterine cavity with an incidence rate of 19 per 1000 conceptions in the United States, accounting for >64,400 hospitalizations annually. It is the leading cause of maternal death in the first trimester. Most ectopic pregnancies (98%) occur in the fallopian tube but can also occur elsewhere. Cesarean scar pregnancy is a form of ectopic implantation in the fibrous tissue around the scar of previous cesarean delivery. The first case of cesarean scar pregnancy was described by Larsen and Solomon in 1978, and only 19 cases were reported until 2001. 3 The incidence of cesarean scar pregnancy is estimated to be 1:1800 to 1:2216 pregnancies. This condition represents 6.1% of all ectopic pregnancies with a history of at least one cesarean operation. In Indonesia, this case is rarely reported, and there is no data on the prevalence of this disease in Indonesia. Due to its rarity, we report a case of a 37-year-old G2P0100 woman with ruptured cesarean scar pregnancy.
References
Einenkel J, Stumpp P, Kosling S, Horn LC, Hockel M. A misdiagnosed case of Sectio cesareaean scar pregnancy. Arch Gynecol Obstet 2005;271(2):178–181
Surapaneni K, Silberzweig JE. Cesarean section scar diverticulum: appearance on hysterosalpingography. AJR Am J Roentgenol 2008;190(4):870–874 8.
Bashiri A, Burstein E, Rosen S, et al. Clinical significance of uterine scar dehiscence in women with previous cesarean delivery: prevalence and independent risk factors. J Reprod Med 2008;53(1):8–14 9. Maymon R, Halperin R, M
Sadeghi H, Rutherford T, Rackow BW, Campbell KH, Duzyj CM, Guess MK, Kodaman PH, Norwitz ER. Cesarean scar ectopic pregnancy: case series and review of the literature. American journal of perinatology. 2010 Feb;27(02):111-20.
Fylstra DL. Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv 2002;57:537–43.
Jurkovic D, Hillaby K, Woelfer B, Lawrence A, Salim R, Elson CJ. First trimester diagnosis and management of pregnancies implanted into the lower uterine segment cesarean section scar. Ultrasound Obstet Gynecol 2003;21:220–7.
Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstetrics & Gynecology. 2006 Jun 1;107(6):1373-81.
Kim SY, Yoon SR, Kim MJ, Chung JH, Kim MY, Lee SW. Cesarean scar pregnancy; Diagnosis and management between 2003 and 2015 in a single center. Taiwanese Journal of Obstetrics and Gynecology. 2018 Oct 1;57(5):688-91.
Hsieh BC, Hwang JL, Pan HS, Huang SC, Chen CY, Chen PH. Heterotopic Sectio cesareaean scar pregnancy combined with intrauterine pregnancy successfully treated with embryo aspiration for selective embryo reduction: case report. Hum Reprod 2004;19:285–7
Pan Y, Liu MB. The value of hysteroscopic management of cesarean scar pregnancy: a report of 44 cases. Taiwan J Obstet Gynecol. 2017;56(2):139-142.
P?draszewski P, Wla?lak E, Panek W, Surkont G. Cesarean scar pregnancy – a new challenge for obstetricians. J Ultrason. 2018;18(72):56?62.
Published
Issue
Section
License
Copyright (c) 2023 Johanes Nyoman Deo Widiswara Mawan, I Nyoman Hariyasa Sanjaya, Tjokorda Gde Agung Suwardewa, Ida Bagus Gede Fajar Manuaba
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International. that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
