Type 2 cesarean section scar pregnancy managed by hysteroscopic resection and methotrexate: A case report
Document Type
Article
Department
Obstetrics and Gynaecology (East Africa); Pathology (East Africa)
Abstract
Background: Diagnosis and management of cesarean scar ectopic pregnancy (CSP) remain challenging. We describe ultrasound diagnosis followed by hysteroscopic resection and methotrexate administration.
Case presentation: A 42-year-old woman, para 2+1, presented with 8 weeks of amenorrhea and vaginal bleeding. She had two previous cesarean deliveries. Initial ultrasound suggested an incomplete miscarriage and beta human chorionic gonadotropin (β-HCG) was 46,129 mIU/ml. After failed medical management, repeat ultrasound diagnosed CSP. Hysteroscopic resection was performed, and she received methotrexate, resulting ß-HCG resolution.
Conclusion: Though rare, CSP should be entertained in any woman presenting with vaginal bleeding with a history of cesarean delivery. Hysteroscopic resection with methotrexate provides good fertility-preserving modality for management.
Publication (Name of Journal)
Journal of Obstetrics and Gynaecology of Eastern and Central Africa
DOI
https://doi.org/10.59692/jogeca.v37i2.381
Recommended Citation
Muteshi, C.,
Morris, K.,
Gakinya, S.
(2025). Type 2 cesarean section scar pregnancy managed by hysteroscopic resection and methotrexate: A case report. Journal of Obstetrics and Gynaecology of Eastern and Central Africa, 37(2).
Available at:
https://ecommons.aku.edu/eastafrica_fhs_mc_obstet_gynaecol/751