Clinical Profile and Outcome of Caesarean Scar Pregnancy in a Tertiary Care Center - A One Year Study
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 4
Abstract
Caesarean scar ectopic is a rare but significant variant of ectopic pregnancy where the implantation is in the cesarean scar. Objective: To study the clinical profile and outcome of cesarean scar pregnancy during the year 2016 in the department of O&G, Government Medical College Thiruvananthapuram. Results: Among 8520 deliveries in 2016 there were 8 cases of cesarean scar ectopic pregnancies. Majority were third gravida with history of previous one cesarean delivery. Mean age of the patients was 30 years. The gestational age of diagnosis was between 6-7weeks in 75% of the cases. Only half of the patients were primarily diagnosed as scar ectopic. Two patients were successfully treated with systemic methotrexate. Two directly underwent laparotomy and scar excision, one for impending rupture and the other at the request of the patient for sterilization. Rest were initially misdiagnosed as missed abortion. After failed medical abortion, two were diagnosed as scar ectopic in repeat sonogram. Both of them responded to systemic methotrexate, but was not willing for follow up and so underwent laparotomy. In the other two patients after failed medical abortion, surgical evacuation was done. This resulted in profuse hemorrhage necessitating laparotomy which confirmed scar pregnancy in both the cases. Conclusion: The implantation site of pregnancy in a scarred uterus is significant. Most of the time scar ectopic is misdiagnosed as normal intra uterine pregnancy or missed abortion and managed accordingly. This can result in unforeseen complications like severe hemorrhage, uterine perforation necessitating emergency laparotomy and multiple blood transfusions and even hysterectomy. If scar ectopic pregnancy is timely diagnosed there are various options for conservative management
Authors and Affiliations
Dr Sreelatha. S
Keywords
Related Articles
- EP ID EP284383
- DOI -
- Views 51
- Downloads 0
Effect of Fibroid on Pregnancy and Pregnancy on Fibroid Uterus
Objective: We study the effect of fibroids on women with pregnancy and pregnancy on uterine leiomyoma (fibroids) documented by ultrasonography. Materials and Methods: Fifty (50) pregnant women diagnosed with leiomyoma du...
Clinico-Serological profile of Acute Sporadic Viral Hepatitis in Kashimiri Adults: Hospital based Prospective Study
Background: There is no report on clinico-serological profile of acute viral hepatitis from the state of J & K since the discovery of hepatitis E and hepatitis C. Methods: A prospective hospital based study was conducted...
Clinico-Etiological Profile of Recurrent Abdominal Pain in Children Aged 5-15 Years
Background: Recurrent abdominal pain (RAP) is one of the most common chronic complain of childhood affecting 8-12% of school children. In school aged children, an organic cause can be found in less than 10% of children w...
Cut Pumpkin Sign- A Diagnostic Radiological Sign in Pulmonary Contusion
Pulmonary contusion (lung contusion) following blunt trauma to chest is a relatively self- limiting disease, even though it’s clinical and radiological picture may mimic serious other diseases. Better understanding of th...
Impact of Personality on Mental Health of Adolescents among Selected Government and Aided Schools
Adolescents in the age group 10-19 years are in transient phase of life requiring nutrition, education, counseling and guidance to ensure their development into healthy adults. (WHO 2014) The main objective of the study...