Cesarean Scar Pregnancy Successfully Managed by Suction Curettage
Abstract
Introduction : Cesarean scar pregnancy (CSP) is an implantation that occurs in the scar left by cesarean delivery. Prevalence varies and tends to increase with the high number of Cesarean deliveries.
Case Presentation : A female patient, 31 years old, gravida 2 para 1, came with complaints of bleeding from the birth canal, which had been felt for the last few days. Blood clots were accompanied by tissue discharge. Lower abdominal pain and nausea were also felt. The birth history showed that the patient gave birth to her first child by cesarean section. Physical examination revealed tenderness in the abdominal region. Initial laboratory examination results were within normal limits. Ultrasonography showed the presence of a gestational sac in the lower segment of the uterus where the previous cesarean delivery had been made. The patient was diagnosed with cesarean scar pregnancy and was planned for suction curettage.
Discussion : There are many management options for CSP treatment. Suction curettage plus a Foley balloon has a high success rate, is cheap, minimally invasive and easy to perform. This results in a relatively short treatment duration and makes the patient comfortable. Nonetheless, thin myometrium is a risk factor for failure of suction curettage in CSP patients.
Conclusion : Cesarean scar pregnancy is a rare form of ectopic pregnancy. Early diagnosis and management are important to prevent morbidity. Suction curettage is considered as an effective initial treatment option.
Keywords
References
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DOI: 10.24815/jks.v25i2.45528
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