Caesarean scar pregnancy (CSP): A rare case of complete scar dehiscence due to scar ectopic pregnancy and its management

摘要

We present a rare case of Caesarean scar pregnancy (CSP) in which the embryo implants within the myometrium at the site of a previous caesarean scar with complete scar dehiscence and its distinctive management. A 38-year-old G8P1 woman presented with vaginal bleeding following 6 weeks of amenorrhoea following IVF. Serum (3-human chorionic gonadotropin (HCG) level was 9166 mlU/mL and transvaginal ultrasound (TVS) revealed (Fig. 1) an inhomogeneous fixed mass, 5 cm in size within the myometrium at her previous caesarean scar site extending outside the uterus through the caesarean scar and adjacent to the bladder; on the basis of this diagnosis CSP was made.