Case Report
Year: 2020 | Month: November | Volume: 10 | Issue: 11 | Pages: 70-74
Medical Management of Type II Scar Ectopic Pregnancy: A Case Report
Shameem Farzana1, Hina Shams Solangi2, Karmin Huma3
1MBBS , FRCOG (UK) , Head of Department OBGYN Dr. Sulaiman Al Habib Hospital As Sweidi Exit 26, Hamza Bin Abdulmutalib Street , Po box 5612, Riyadh 12944, Kingdom of Saudi Arabia
2MBBS , FCPS (Pak) , Consultant OBYN Dr. Sulaiman Al Habib Hospital As Sweidi Exit 26, Hamza Bin Abdulmutalib Street, Po box 5612, Riyadh 12944, Kingdom of Saudi Arabia
3MBBS, Locum Trainee Dr Sulaiman Al Habib Hospital As Sweidi/ Post graduate Trainee, Deccan Medical Collage Hyderabad, Telangana state. India
Corresponding Author: Hina Shams Solangi
ABSTRACT
Background: Cesarean scar ectopic pregnancy is a rare form of ectopic pregnancy. Due to increased in cesarean section procedures its incidence is increasing. It is a diagnostic as well as therapeutic challenge for physicians as standardized guidelines are not yet been established.
Case report: A 32 years old African lady who had previous 2 cesarean sections, presented with irregular menstruation cycle, lower abdominal pain and vaginal bleeding. Patient was diagnosed as incomplete miscarriage but on followup ultrasound was suggestive of type II cesarean scar pregnancy. Our patient was successfully treated with single dose methotrexate.
Conclusion: It is important for physicians and sonologists to have a high index of suspicion while following patients with risk factors for scar ectopic pregnancy. Single dose methotrexate can be the first line of treatment for type II scar ectopic pregnancy.
Key words: Cesarean section, scar ectopic, diagnosis