Downloads: 5 | Views: 28 | Weekly Hits: ⮙2 | Monthly Hits: ⮙3

Case Studies | Obstetrics and Gynecology | India | Volume 13 Issue 3, March 2024

Case Series: Management Modalities of Caesarean Scar Ectopic Pregnancy

Dr Pawel Thoolkar | Dr Sushil Chawla | Dr Rajesh Sharma | Dr Saranya Krishnan

Abstract: This study presents a comprehensive analysis of Caesarean Scar Ectopic CSE pregnancies, a rare form of ectopic pregnancy with increasing incidence due to the rise in caesarean deliveries. It explores the pathogenesis, closely related to placenta accreta, and delves into four distinct cases, detailing their management through medical and surgical interventions. The discussion highlights the importance of early diagnosis via transvaginal ultrasound TVS to prevent severe complications such as uterine rupture. Given the absence of a consensus on treatment due to the rarity of CSE, the study emphasizes individualized treatment plans considering factors like the patients desire for future fertility, gestational age, and hemodynamic stability. The findings suggest that both medical and surgical approaches have their merits, but no single protocol proves superior. The study underscores the significance of awareness and the role of specific ultrasound features, supported by MRI, in the early recognition and management of CSE to preserve fertility and prevent adverse outcomes.

Keywords: Caesarean Scar Ectopic Pregnancy, Transvaginal Ultrasound, Methotrexate, Fertility Preservation, Medical and Surgical Management

Edition: Volume 13 Issue 3, March 2024,

Pages: 617 - 618