Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2016 | Month : May | Volume : 10 | Issue : 5 | Page : QD05 - QD06

Caesarean Scar Ectopic Pregnancy: Report of Two Cases

Akshaya Kumar Mahapatro, Kundavi Shankar, Thankam Varma

1. Fellow, Institute of Reproductive Medicine, Madras Medical Mission, Chennai, Tamilnadu, India. 2. Senior Consultant, Institute of Reproductive Medicine, Madras Medical Mission, Chennai, Tamilnadu, India. 3. Medical Director, Institute of Reproductive Medicine, Madras Medical Mission, Chennai, Tamilnadu, India.

Correspondence Address :
Dr. Akshaya Kumar Mahapatro,
Institute of Reproductive Medicine, Madras Medical Mission, Chennai, Tamilnadu-600037, India.
E-mail: dr.aks73@gmail.com

Abstract

Cases of Caesarean Scar Ectopic Pregnancy (CSEP) are becoming increasingly common at tertiary care hospitals because of increase in rate of CS. This condition is often complicated by life threatening bleeding, uterine rupture, which might require hysterectomy leading to permanent infertility. Management can be medical, surgical or combined depending on the clinical presentation. It includes systemic methotrexate or local uterine artery chemoembolisation, dilatation and curettage, excision of trophoblastic tissue either by laparoscopy or laparotomy with uterine repair. We report two such cases managed medically in our hospital. Both the cases presented to us were asymptomatic except amenorrhoea and were diagnosed by transvaginal sonography. First case was managed with systemic methotrexate followed by Dilatation and Curettage (D&C). Second case was managed with systemic methotrexate alone successfully.

Keywords

Embolisation, Hysterectomy, Laparotomy, Laparoscopy, Methotrexate

How to cite this article :

Akshaya Kumar Mahapatro, Kundavi Shankar, Thankam Varma. CAESAREAN SCAR ECTOPIC PREGNANCY: REPORT OF TWO CASES. Journal of Clinical and Diagnostic Research [serial online] 2016 May [cited: 2018 Jun 24 ]; 10:QD05-QD06. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2016&month=May&volume=10&issue=5&page=QD05-QD06&id=7848

DOI and Others

DOI: 10.7860/JCDR/2016/18075.7848


Date of Submission: Dec 03, 2015
Date of Peer Review: Jan 06, 2016
Date of Acceptance: Feb 24, 2016
Date of Publishing: May 01, 2016


Financial OR OTHER COMPETING INTERESTS: None.

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