Number 1

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Posted in Volume 16 - Number 1

ABSTRACT | Full Text PDF

SAJEELA NOUREEN, NUSRAT H. KHAN

BACKGROUND: A ectopic pregnancy developing in  caesarean section scar is extremely rare and is associated with its significant complications. Because of its rarity little is known about pregnancy outcomes following caesarean scar ectopics. Here we report a case of subsequent term pregnancy followed by vaginal delivery in a patient who had caesarean scar pregnancy and was managed with systemic methotraxate.

CASE: A 29 years old lady, para 2+0, first vaginal delivery followed by caesarean section due to breech presentation was found to have a ectopic pregnancy in caesarean scar at 7 weeks of gestation. That was a nonviable pregnancy. Presenting complain was bleeding per vaginum. A single dose of 50 mg methotrexate was given intravenously followed by folinic acid. She was followed by serial scans till 10 months following treatment with methotrexate. She became pregnant after 12 months of treatment. The pregnancy was term and uneventful. She went into labor spontaneously and delivered vaginally. The labor and puerperium was also uneventful.