Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

Successful Management of Caesarean Scar Ectopic Pregnancies: A Report of Five Cases

Authors
Neena Malhotra 1
Nilofar Noor 1
Piyush Bansal 2
K. Aparna Sharma 1
1 Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
2 Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Nagpur, India
10.18502/jri.v22i3.6723
Abstract
Background: Cesarean section scar ectopic pregnancy (CSEP) is a rare and poten-tially life-threatening condition. A standardized management protocol is yet to be established owing to limited data available. Case Presentation: In this paper, five cases of CSEP over a period of 18 months at a tertiary referral hospital, managed medically with methotrexate administered both systemically and into the gestational sac at the time of feticide with potassium chloride (KCL) are presented. Surgical management was the second line therapy when medical treatment failed. Conclusion: With rising trends in cesarean deliveries, CSEP may be a challenge which requires close investigation regarding its diagnosis and treatment on the merits of case studies and available healthcare facilities.
Keywords
Caesarean section
Ectopic pregnancy
Gestational sac
methotrexate
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Journal of Reproduction & Infertility
Volume 22, Issue 3
Summer 2021
Pages 220-224