Ruptured Cesarean Scar Pregnancy: A Case Report

Area of Science:

• Reproductive Medicine
• Obstetrics and Gynecology

Background:

• Cesarean scar pregnancy is a rare ectopic pregnancy occurring in the myometrium of a prior cesarean scar.
• It accounts for 6.1% of ectopic pregnancies and approximately 1 in 2000 pregnancies.

Observation:

• A case of a 24-year-old female with a ruptured cesarean scar pregnancy is presented.
• The patient underwent emergency laparotomy and subsequent hysterectomy due to the rupture.

Findings:

• Trophoblastic invasion into the myometrium can lead to uterine rupture and severe hemorrhage.
• Prompt diagnosis in the first trimester is essential for appropriate management.

Implications:

• Ruptured cesarean scar pregnancy constitutes an obstetric emergency requiring immediate intervention.
• Early diagnosis and management strategies are vital to reduce maternal morbidity and mortality.
• Expectant management carries a poor prognosis, potentially leading to hysterectomy and loss of fertility.