Caesarean section scar pregnancy: a case series at a single tertiary centre

Pang YP, Tan WC, Yong TT, Koh PK, Tan HK, Ho TH
Correspondence: Dr Pang Yi Ping Cindy, cindypangyp@yahoo.com

ABSTRACT
We present a case series of four patients with Caesarean scar pregnancies (CSPs) managed at our gynaecological unit between October 2008 and May 2009. Three patients were detected while asymptomatic, and were treated with elective intragestational sac methotrexate injections. The last patient had presented following complications from a termination of pregnancy for a CSP that was misdiagnosed as intrauterine. Following treatment, this patient and another developed arteriovenous malformation, which responded to bilateral uterine artery embolisations and gonadotropin releasing hormone (GnRH)-agonist treatment.

Keyword:  Caesarean section, ectopic, methotrexate, pregnancy 
Singapore Med J 2012; 53(10): 638–642