Work

Caesarean scar pregnancy complicated by partial rupture in the second trimester: A case report

Year: 2024

Type: article

Abstract: This case report examines caesarean scar pregnancy, a rare but significant complication associated with increasing global caesarean rates. It explores diagnostic challenges, therapeutic interventions, and the importance of a multidisciplinary approach. This report details the case of a patient at 13 + 4 weeks of amenorrhea presenting with severe abdominal pain, diagnosed with caesarean scar pregnancy and scar dehiscence causing major haemorrhage. Emergency surgery and interventional radiology were employed for pregnancy evacuation and haemorrhage control. This report emphasizes niche pregnancy complexities and underscores the need for evidence-based practices to mitigate maternal morbidity and mortality. Additionally, it emphasizes the need for training in niche detection by transvaginal ultrasound for all clinicians encountering patients with early pregnancies. • Caesarean scar pregnancies pose challenges and require specialist teamwork. • Interventional radiology plays a key role in managing this complex obstetric issue. • Routine niche detection techniques are key for clinicians treating pregnant patients. • Combined efforts to reduce caesarean sections can lower the risk of caesarean scar pregnancy.

Source: Case Reports in Women s Health

DOI: 10.1016/j.crwh.2024.e00665

Authors: Prakriti Garkhail, Astrid S.M. Vinkesteijn, Sabina de Weerd

Institutions: Erasmus MC, Albert Schweitzer Ziekenhuis, Erasmus MC Cancer Institute

Language: English

Topic: Ectopic Pregnancy Diagnosis and Management

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $860