Caesarean scar pregnancy; a rare case history

ABSTRACT

Caesarean Scar pregnancy [CSP] is a rare form of Ectopic pregnancy where the gestation sac is surrounded by myometrium and the fibrous tissue of the scar from the previous caesarean section. It is often misdiagnosed as Molar pregnancy or Inevitable Abortion and can be associated with massive hemorrhage and pervaginal bleeding leading to uterine rupture. Here we reported a case of Caesarean scar pregnancy who presented with history of cesarean section and pervaginal bleeding. Dilatation and curettage was planned but during the operative procedure there was profuse hemorrhage leading to hypovolumic shock which was managed by Blood and venesection then emergency laparotomy followed by Total Abdominal Hysterectomy done as life saving procedure, postoperative period was uneventful and the patient was discharged on 10[th] postoperative day. Diagnosis is important as caesarean scar pregnancy is associated with life threatening complications such as uterine rupture, massive hemorrhage and the need for Hysterectomy with subsequent loss of fertility