Related Experiment Video
Updated: Oct 20, 2025
11:54
Microsatellite DNA Genotyping and Flow Cytometry Ploidy Analyses of Formalin-fixed Paraffin-embedded Hydatidiform Molar Tissues
Published on: October 20, 2019
9.3K
Scar Pregnancy a Diagnostic Conundrum: A Case Report
Manoj Pokhrel1, Shreedhar Prasad Acharya2, Jyotshna Sharma1
1Department of Obstetrics and Gynecology, Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|September 10, 2021
Summary
Cesarean scar pregnancy, a rare ectopic pregnancy, requires high suspicion for prompt diagnosis. Early detection and surgical removal of the gestational sac are crucial to prevent severe maternal complications like hemorrhage.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
Background:
- Cesarean scar pregnancy is a rare but life-threatening form of ectopic pregnancy.
- It can lead to severe complications including uterine rupture and hemorrhage.
Observation:
- A 35-year-old female with a history of cesarean section presented with amenorrhea and abdominal pain.
- Transvaginal sonography revealed potential cesarean scar and cervical pregnancies; MRI confirmed cesarean scar pregnancy.
- Laparotomy identified a gestational sac within the previous cesarean scar.
Findings:
- Surgical removal of the gestational sac was successfully performed via laparotomy.
- The uterine incision was closed with 2-0 polyglactin suture.
Implications:
- A high index of suspicion and rapid diagnostic methods are essential for managing cesarean scar pregnancy.
- Timely intervention significantly reduces maternal morbidity and mortality associated with this condition.
