Rare case of cesarean scar pregnancy diagnosed late: a report
Dr Eun Ju Jo at Department of Obstetrics and Gynecology, Kyungpook National University Hospital, School of Medicine, 807 Hogukro, Buk-gu, Daegu, 41404, Republic of Korea and colleagues have reported a rare case of Delayed diagnosis of a cesarean scar pregnancy. The case has appeared in the Journal of Medical Case Reports.
Cesarean scar pregnancy is rare but may be related to early uterine rupture and may result in massive haemorrhage. Nowadays, most cesarean scar pregnancies are diagnosed early and can be managed properly. However, diagnoses of cesarean scar pregnancies that develop in the obstetrical area are sometimes delayed.
A 28-year-old Asian woman (G3P1) who had undergone emergency cesarean delivery owing to a compound presentation at full term presented with suspicion of the abnormally located gestational sac. She had undergone laparoscopic cholecystectomy and open appendectomy previously. She did not have any medical, family, or psychosocial history. She had missed her menstrual period without any other symptom and visited a private obstetrical clinic to confirm the pregnancy. However, she was diagnosed as having an abnormal pregnancy such as cervical or CSP by USG.
Although the diagnosis of CSP is rarely delayed, its treatment is important because it can be life-threatening. However, no treatment for CSP has been established and few cases have been reported. More cases and multicenter cohort studies are needed, and laparotomy with local MTX injection may be a treatment option.