Early Diagnosis of Cesarean Site Ectopic Pregnancy: The Critical Role of Ultrasound in Preventing Complication

  • Farayha Khalid Farayha Akbar Niazi Teaching Hospital
  • Iqra Shaukat Akbar Niazi Teaching Hospital
  • Mohsin Jamil Akbar Niazi Teaching Hospital
  • Beenish Suhail Akbar Niazi Teaching Hospital
  • Hassaan Ahmed Khan Niazi Islamabad Medical and Dental college
  • Abdullah Ahmed Khan Niazi Fauji Foundation Medical College, Rawalpindi

Abstract

Cesarean scar ectopic pregnancy (CSP) is a rare type of ectopic pregnancy where the embryo implants on the cesarean scar from a prior surgery. We present a case of a 34-year-old woman, gravida 6, para 5, with history of five previous cesarean sections and uncontrolled type 2 diabetes. She presented with 8 weeks and 3 days of amenorrhea. Transabdominal and transvaginal ultrasound confirmed a viable gestation implanted in the anterior part of the lower uterine segment, within the cesarean scar region. Subsequently, laparotomy for excision of ectopic pregnancy was done. Gestational sac adherent to previous uterine scar was removed with all its membranes. Histopathology report confirmed the product of conception. Early diagnosis of cesarean scar ectopic pregnancy (CSP) via ultrasound is vital. Recognizing a gestational sac in the lower uterine segment helps guide timely treatment and prevent serious complications.

 

Key Words: Cesarean scar ectopic pregnancy (CSP), ultrasound diagnosis, laparotomy.

Published
2025-01-22