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Ectopic Pregnancy within a Cesarean Section Scar: An Unusual Case Report
Emad M Al-Osail1, Sager Almulhim2
1Department of General Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
International Medical Case Reports Journal
|May 7, 2025
Summary
Caesarean scar ectopic pregnancy is a rare obstetric complication. This case highlights successful management with methotrexate, emphasizing early diagnosis to prevent severe maternal morbidity and preserve fertility.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Ectopic pregnancy poses significant risks, including maternal morbidity and mortality.
- Caesarean scar ectopic pregnancy is a rare but serious variant, associated with uterine surgical scars.
Observation:
- A 43-year-old female presented with pelvic pain and vaginal bleeding.
- Ultrasound confirmed a caesarean section scar ectopic pregnancy.
Findings:
- The patient was successfully treated with a multi-dose methotrexate regimen.
- This case demonstrates effective non-surgical management for caesarean scar ectopic pregnancy.
Implications:
- Prompt diagnosis and management are crucial for preventing life-threatening complications.
- Timely intervention in caesarean scar ectopic pregnancy can help preserve future fertility.
