A rare presentation of caesarean scar ectopic pregnancy as retained product of conception: A case report

Abstract

Caesarean scar ectopic pregnancy (CSEP) is a rare but life-threatening complication.
It is an abnormal implantation of the gestational sac into the myometrium and a
fibrous scar after a previous caesarean section. The incidence of such cases is on the
rise due to the increase in caesarean sections worldwide. A 24-year-old G2P1L1
(previous lscs 2 years back)presented with complaints of vaginal bleeding and lower
abdominal pain. She was diagnosed as a case of CSEP with retained products of
conception by ultrasonography and confirmation of the diagnosis was done by
histopathological examination. An exploratory laparotomy was performed and the
patient was successfully managed. Treatment must be individualized depending on
the patient's hemodynamic profile, size, extent, depth, and vascularity, caesarean
pregnancy, future fertility wishes, and compliance for follow-up.