Mid-trimester cesarean scar pregnancy: a case report

Mary Louise Fowler; Sarah Little; Michael Muto; Shruthi Mahalingaiah

doi:10.1186/s40738-021-00103-9

Mid-trimester cesarean scar pregnancy: a case report

Fertil Res Pract. 2021 Apr 23;7(1):10. doi: 10.1186/s40738-021-00103-9.

Authors

Mary Louise Fowler¹, Sarah Little², Michael Muto³, Shruthi Mahalingaiah^{4

5}

Affiliations

¹ Department of Obstetrics and Gynecology, Boston Medical Center, 85 East Concord Street, 6th Floor, Boston, MA, 02118, USA.
² Department of Maternal Fetal Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
³ Division of Gynecologic Oncology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
⁴ Division of Reproductive Endocrinology and Infertility (REI), Massachusetts General Hospital, Yawkey Center - 10th Floor, Boston, MA, 02114, USA. shruthi@hsph.harvard.edu.
⁵ Department of Environmental Health, Harvard TH Chan School of Public Health, 677 Huntington Avenue, Building 1, 14th Floor, Boston, MA, 02115, USA. shruthi@hsph.harvard.edu.

Abstract

Background: This article reports a unique case of cesarean scar pregnancy, demonstrating importance of early management and diagnosis.

Case presentation: A 30-year-old pregnant woman with prior history of two cesarean sections found to have cesarean scar pregnancy at approximately 13 weeks' gestation and underwent a gravid hysterectomy.

Conclusions: While rare, cesarean scar pregnancies should be considered on the differential diagnosis of any pregnant patient with history of cesarean section who presents in early pregnancy with vaginal bleeding and/or cramping. Given the increased rates of cesarean sections in the times of COVID-19, one may anticipate seeing more cases of cesarean scar pregnancies.

Keywords: Cesarean ectopic; Cesarean scar pregnancy; Hysterectomy.