Cesarean scar pregnancy: Case report and review of the literature

Nosečnost v brazgotini po carskem rezu: prikaz primera in pregled literature

  • Andraž Dovnik Maribor University Clinical Center, University Department of Gynecology and Perinatology
  • Polona Kores Testen Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology
  • Lea Mlakar Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics
  • Milan Reljič Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics
  • Darja Arko Maribor University Clinical Center, University Department of Gynecology and Perinatology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics
  • Iztok Takač Maribor University Clinical Center, University Department of Gynecology and Perinatology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics
DOI: https://doi.org/10.18690/actabiomed.108
Keywords: cesarean section complications, cesarean scar pregnancy, transvaginal ultrasound, hysterotomy

Abstract

Purpose: A cesarean scar pregnancy is a rare form of ectopic pregnancy in which the gestational sac is implanted in the uterine scar after a previous cesarean section. Early diagnosis is crucial, and transvaginal ultrasound is the most appropriate diagnostic tool. Different management options have been described in the literature; however, there is no consensus regarding optimal treatment due to the rarity of the condition.

Case report: We present a case involving a cesarean scar pregnancy which was managed with hysterotomy due to the advanced stage of pregnancy (fetal crown–rump length = 3.5 cm).

Conclusion: Early diagnosis of a cesarean scar pregnancy is important to avoid complications and to preserve fertility. Various treatment modalities have been described in the literature, including medical and surgical options.

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Author Biographies

Andraž Dovnik, Maribor University Clinical Center, University Department of Gynecology and Perinatology

M.D., Maribor, Slovenia. E–mail: andrazdovnik@gmail.com

Polona Kores Testen, Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology

Maribor, Slovenia.

Lea Mlakar, Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics

Maribor, Slovenia.

Milan Reljič, Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics

Maribor, Slovenia.

Darja Arko, Maribor University Clinical Center, University Department of Gynecology and Perinatology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics

Maribor, Slovenia.

Iztok Takač, Maribor University Clinical Center, University Department of Gynecology and Perinatology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics

Maribor, Slovenia.

Published
2021-11-28
How to Cite
Dovnik A., Kores Testen P., Mlakar L., Reljič M., Arko D., & Takač I. (2021). Cesarean scar pregnancy: Case report and review of the literature. Acta Medico-Biotechnica, 7(2), 53-57. https://doi.org/10.18690/actabiomed.108
Issue
Vol 7 No 2 (2014)
Section
Articles