Cesarean Scar Pregnancy: A Case Report and Literature
Review
Rodpenpear N, MD1, Laosooksathit W, MD1, Phasipol P, MD1, Promsonthi P, MD1, Raungrongmorakot K, MD1,
Rangsirattanakul L, MD2
Affiliation :
1 Department of Obstetrics and Gynaecology, HRH Princess Maha Chakri Sirindhorn Medical Center, Faculty of Medicine, Srinakharinwirot University,
Nakhon Nayok, Thailand
2 Department of Pathology, HRH Princess Maha Chakri Sirindhorn Medical Center, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok,
Thailand
Cesarean scar pregnancy (CSP) is a rare disease. Because of the serious consequences of the disease, early diagnosis and
treatment are very important. Furthermore, the diagnosis is difficult and the standard treatment is still unknown. We reported a
rare case of 33-year-old woman, Para 2-0-0-2 with cesarean section of prior two pregnancies, presented with abnormal vaginal
bleeding for 2 months. The uterus was slightly enlarged but otherwise unremarkable. Urine pregnancy test was positive. Gestational
age was about 8 weeks from the last periods. Transvaginal ultrasonography revealed heteroechoic mass size 4.89x3.99x5.42 cm
at anterior lower uterine segment occupied the hold thickness of the myometrium, adjacent to the uterine serosa. These findings
were compatible with a cesarean scar pregnancy. After counseling regarding treatment options, the patient and her family could not
accept risks for uterine preserving treatment and subsequence pregnancy complications and thus chose definitive surgery,
hysterectomy. After surgery, no complication was observed. Therefore, hysterectomy is an alternative option for cesarean scar
pregnancy treatment who could not take the risk of uterine preserving treatment.
Keywords : Cesarean scar pregnancy, Ectopic pregnancy, Hysterectomy
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