Cesarean scar pregnancy: a case report

Cesarean scar pregnancy is a rare type of ectopic pregnancy occurring by the invasion of the pregnancy created in the cesarean scar into the myometrium. Its incidence rate is 1/1800-1/2216 in all pregnancies and 0.15% for those with cesarean history. The greatest risk factor is the cesarean history. It is a life-threatening condition due to its complications. Early diagnosis and treatment is mostly lifesaving. In cesarean scar pregnancy, many treatment alternatives may be applied such as non-invasive treatment, dilatation and curettage, local or systemic methotrexate, surgical resection of trophoblastic tissue or uterine artery embolization. In this case, we aimed to present cesarean scar pregnancy treated by Foley catheter method after dilatation and curettage. Thirty-six-year-old G6P4A1 case referred to our clinic for delayed menstrual period. In the ultrasonography examination performed, we observed that the gestational sac compatible with 5 weeks of gestation was located in cesarean scar on lower uterine segment. We found from the medical history of the patient, she had cesarean section for 3 times and underwent D C once after abortion. All possible complications were explained to the patient, cervical dilatation was done first in the operating room by Hegar dilator accompanied with US, and the pregnancy product was aspirated by Karman's cannula. Upon the moderate bleeding of the patient, intracavitary Foley catheter was applied. The operation was ended by inflating the balloon of the catheter by 25-30 cc SF. Foley catheter was removed after 24 hours and when there was no postoperative bleeding, and she was discharged in health condition.

Keywords

Cesarean scar pregnancy, dilatation and curettage, ectopic pregnancy.