Alba Fissi*, Carlo Luchi, Tommaso Simoncini, Nadia Falchi, Francesca Papini and Vito Cela
Department of Obstetrics and Gynecology, University Hospital of Pisa, ItalyFulltext PDF
A Caesarean Scar Pregnancy (CSP) is a peculiar and rare complication of a pregnancy after caesarean delivery. It is the implantation of a gestational sac in the hysterotomy scar and it may cause several he coauthors outcomes such as abnormal implantation of placenta, vaginal or intraabdominal bleeding, uterus rupture or mother death. The commonest clinical practice is to offer termination of pregnancy to avoid the consequences of this condition. The type of CSP treatment method depends on many factors such as size of pregnancy, bHCG level, presence or absence of uterine continuity, patient’s hemodynamic state, other contemporary pregnancies and fertility preservation. In this case report a woman at 6° week of amenorrhea presented twin pregnancy: One gestational sac was on the bottom and one on the hysterotomy scar. The women decided to continue with the intrauterine pregnancy so we proposed her to perform selective voluntary abortion of the hysterotomy scar pregnancy to protect mother health and the other pregnancy.
Fissi A, Luchi C, Simoncini T, Falchi N, Papini F, Cela V. Removal of Gestational Chamber on Cesarean Scar in Twin Pregnancy. Clin Case Rep Int. 2022; 6: 1398.