Case Report
VOLUME: 36 | ISSUE: 1 | Mar 31, 2020 | PAGE: (10 - 14) | DOI: 10.24911/BioMedica/5-143
Viable Caesarean Scar Pregnancy: A Case Report
Authors: Saima Najam , Sumaiyya Ejaz Malik , Shehla Aqeel , Nida Rizwan , Ali Raza Haider
Article Info
Authors
Saima Najam
Dr. Sulaiman Al-Habib Hospital, Sweidi, Riyadh, Saudi Arabia
Sumaiyya Ejaz Malik
Dr. Sulaiman Al-Habib Hospital, Sweidi, Riyadh, Saudi Arabia
Shehla Aqeel
Fatima Memorial Hospital, Lahore – Pakistan
Nida Rizwan
Combined Military Hospital, Lahore – Pakistan
Ali Raza Haider
DVM Pharma, Lahore – Pakistan
Publication History
Received: March 02, 2020
Revised: March 16, 2020
Accepted: March 21, 2020
Published: March 31, 2020
Abstract
Ectopic pregnancy is a pregnancy in which blastocyst is implanted at a site other than the endometrium. When it is partially or completely implanted with in the scar it is known as caesarean scar ectopic pregnancy (CSP). It is a very rare form of the ectopic pregnancy and most of the literature available is in the form of case reports and case series. In the succeeding report of a case, a 31 years old gravida-4 para-2 with one miscarriage and one caesarean section presented in emergency department with the amenorrhea of 9 weeks and 5 days. She had moderate abdominal pain and vaginal bleeding. After in-patient evaluation she
was diagnosed of having viable CSP, necessitating termination of pregnancy. The challenge after the diagnosis was to remove the CSP and retain future fertility without increasing the morbidity. Uterine artery embolization (UAE) followed by the laparotomy and excision of the ectopic pregnancy was carried out to reduce the risk of the hemorrhage. Early and accurate diagnosis is the key and should be followed by individualized prompt treatment in expert hands. A multidisciplinary approach is essential to reduce the overall morbidity and help retaining the future fertility of the patient.
Keywords: Cesarean scar pregnancy (CSP), Uterine artery embolization (UAE), Hemorrhage, Ectopic pregnancy.
Pubmed Style
Saima Najam, Sumaiyya Ejaz Malik, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. Viable Caesarean Scar Pregnancy: A Case Report. BioMedica. 2020; 31 (March 2020): 10-14. doi:10.24911/BioMedica/5-143
Web Style
Saima Najam, Sumaiyya Ejaz Malik, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. Viable Caesarean Scar Pregnancy: A Case Report. https://biomedicapk.com/articles/online_first/143 [Access: April 28, 2024]. doi:10.24911/BioMedica/5-143
AMA (American Medical Association) Style
Saima Najam, Sumaiyya Ejaz Malik, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. Viable Caesarean Scar Pregnancy: A Case Report. BioMedica. 2020; 31 (March 2020): 10-14. doi:10.24911/BioMedica/5-143
Vancouver/ICMJE Style
Saima Najam, Sumaiyya Ejaz Malik, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. Viable Caesarean Scar Pregnancy: A Case Report. BioMedica. (2020), [cited April 28, 2024]; 31 (March 2020): 10-14. doi:10.24911/BioMedica/5-143
Harvard Style
Saima Najam, Sumaiyya Ejaz Malik, Shehla Aqeel, Nida Rizwan, Ali Raza Haider (2020) Viable Caesarean Scar Pregnancy: A Case Report. BioMedica, 31 (March 2020): 10-14. doi:10.24911/BioMedica/5-143
Chicago Style
Saima Najam, Sumaiyya Ejaz Malik, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. "Viable Caesarean Scar Pregnancy: A Case Report." 31 (2020), 10-14. doi:10.24911/BioMedica/5-143
MLA (The Modern Language Association) Style
Saima Najam, Sumaiyya Ejaz Malik, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. "Viable Caesarean Scar Pregnancy: A Case Report." 31.March 2020 (2020), 10-14. Print. doi:10.24911/BioMedica/5-143
APA (American Psychological Association) Style
Saima Najam, Sumaiyya Ejaz Malik, Shehla Aqeel, Nida Rizwan, Ali Raza Haider (2020) Viable Caesarean Scar Pregnancy: A Case Report. , 31 (March 2020), 10-14. doi:10.24911/BioMedica/5-143