Persistent Trophoblastic Disease at Cesarean Scar.

Area of Science:

• Reproductive Endocrinology
• Gynecologic Oncology

Background:

• Cesarean scar pregnancy is a rare form of ectopic pregnancy.
• Persistent trophoblastic disease at the cesarean scar site is exceptionally rare.

Observation:

• A case of cesarean scar molar pregnancy is presented.
• This condition requires a high index of suspicion for early diagnosis and management.
• Persistent vaginal bleeding or pregnancy symptoms post-suction evacuation in patients with a cesarean history warrant consideration.

Findings:

• Diagnosis is confirmed by measuring beta-human chorionic gonadotropin (ß-hCG) levels and transvaginal ultrasound with Doppler flow evaluation.
• This case report details a conservative, non-surgical approach.

Implications:

• This case expands the clinical spectrum of cesarean scar molar pregnancy.
• Highlights the importance of considering this rare diagnosis in specific clinical scenarios.
• The conservative approach offers a potential management option for this uncommon condition.