Year: 2026
Type: article
Study design: Case Report
Abstract: Case description: Cesarean scar pregnancy (CSP) is a rare type of ectopic pregnancy where the embryo implants in the previous cesarean scar tissue.The global incidence is rising due to increasing cesarean sections.They are of two types-endogenic and exogenic-depending upon the direction of growth.These constitute high-risk cases where rupture of the uterus, bleeding, torrential hemorrhage, and the requirement for obstetric hysterectomy are often noted.Here is a case of a 31-year-old female referred to our hospital post dilation and evacuation with complaints of bleeding per vaginam.The patient was a P3A0L3 female with three previous cesarean sections presenting with severe anemia and sepsis.She was managed with higher antibiotics, blood products, and ultimately managed surgically with an obstetric hysterectomy.Peroperatively, a deficient scar site with an overlying hematoma and infected material in the peritoneal cavity was found, and histopathology confirmed products of conception, confirming the diagnosis of CSP.Conclusion: Ultrasound is the first imaging modality of choice and with the addition of Doppler, it can be differentiated from an aborting gestational sac.Various management modalities can be tried, such as medical and surgical, but the treatment has to be individualized according to the patient.Clinical significance: Cesarean scar pregnancy is an upcoming problem due to the increasing incidence of cesarean sections.
Authors: Sharvari A Khandkar, Mahima Jain
Institution: B.J. Medical College
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W7127077320