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Case Reports
. 2023 Sep 22;15(9):e45763.
doi: 10.7759/cureus.45763. eCollection 2023 Sep.

Successful Non-surgical Management of Cesarean Scar Pregnancy

Arushi Joshi  1 , Sheila K Pillai  2 , Usha Vishwanath  2
Affiliations
Case Reports

Successful Non-surgical Management of Cesarean Scar Pregnancy

Arushi Joshi et al. Cureus. .

Abstract

Ectopic pregnancy in the scar of a previous cesarean section contributes to significant maternal morbidity in the first trimester due to a significantly higher risk of uterine rupture if left undetected. The routine scans done in the first trimester serve as an important screening tool in the detection of such an ectopic pregnancy. Early detection can aid in making a paradigm shift from a surgical to a more conservative approach for the management of such pregnancies. Here, we report a case of a cesarean scar pregnancy diagnosed in the sixth week of gestation which was managed non-surgically with methotrexate and intracardiac potassium chloride injection.

Keywords: cesarean scar ectopic; cesarean section; methotrexate; potassium chloride; transvaginal ultrasound.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Three-dimensional ultrasound of cesarean scar pregnancy.
The arrow shows the current pregnancy developing in the previous scar.
Figure 2
Figure 2. No fetal cardiac activity.
Figure 3
Figure 3. Empty uterine cavity post-procedure.
See this image and copyright information in PMC

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