Cesarean Scar Pregnancy: Always surgical? A Case Report

Authors

  • Alessandra Cassana Universidad Peruana de Ciencias Aplicadas, Lima, Perú; Departamento de Cirugía General, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.
  • Omar Yanque Universidad Nacional Mayor de San Marcos, Lima, Perú; Departmento de Ginecología y Obstetricia, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.

DOI:

https://doi.org/10.15381/anales.v78i4.14266

Keywords:

Ectopic pregnancy, Uterine hemorrhage, Laparotomy.

Abstract

Cesarean scar pregnancy (CSP) is a rare type of ectopic pregnancy that should be diagnosed early in order to seek the best therapeutic option. We present a case of CSP initially misdiagnosed as a non-viable pregnancy that undergone curettage. Patient was referred to our institution where conservative medical management with methotrexate failed, and the only option was surgical resection of CSP. CSP should be suspected and diagnosed as early as possible. In low-income countries the prevention of massive blood loss along with serious maternal morbidity should be priorized. The use of minimally invasive approach should be planned as a first-line treatment over medical management.

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Published

2018-03-23

Issue

Vol. 78 No. 4 (2017)

Section

Casos clínicos

License

Copyright (c) 2018 Anales de la Facultad de Medicina

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How to Cite

1.
Cassana A, Yanque O. Cesarean Scar Pregnancy: Always surgical? A Case Report. An Fac med [Internet]. 2018 Mar. 23 [cited 2024 Aug. 16];78(4):430-4. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/14266