Partial Molar Caesarean Scar Pregnancy- A Case Report
Published: June 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/49239.15052
Usha Justa, Geetika Gupta Syal, Rita Mittal, Shruti Jha, Jyotika Bala
1. Senior Resident, Department of Obstetrics and Gynaecology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
2. Assistant Professor, Department of Obstetrics and Gynaecology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
3. Professor, Department of Obstetrics and Gynaecology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
4. Junior Resident, Department of Obstetrics and Gynaecology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
5. Junior Resident, Department of Obstetrics and Gynaecology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
Correspondence
Geetika Gupta Syal,
Assistant Professor, Department of Obstetrics and Gynaecology, Indira Gandhi Medical College, Shimla, Himachal Pradesh-171001, India.
E-mail: dr.geetikagupta@gmail.com
Caesarean Scar Pregnancy (CSP) is a rare entity. Gestational Trophoblastic Disease (GTD) in a CSP is exceedingly rare. This can lead to complications like rupture uterus, severe haemorrhage, hypovolemia which may require hysterectomy, endangering a woman’s life, her future fertility and death. As no therapeutic protocols have been established about this rare condition, it is difficult to diagnose and manage. The case report describes a patient, 26-year-old gravida 2 para 1, diagnosed with a CSP with partial mole. She was treated with systemic Methotrexate (MTX) followed by surgery-wedge resection of ectopic mass and repair of uterus. Patient remained on β-hCG follow-up. The management of CSP requires high clinical suspicion and immediate action with combination of various treatment modalities. Primary caesarean section rate must be reduced by performing caesareans only for justified reasons, so as to decrease the incidence of scar pregnancies.
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