Diagnostic and Management Challenges of Caesarean Scar Ectopic Pregnancy in a Lower Middle Income Country

Abstract EN

Caesarean scar ectopic pregnancy is defined as the implantation of the blastocyst in a previous Caesarean scar.

It is a rare type of ectopic pregnancy.

The incidence is however rising due to the increasing rates of Caesarean sections as well as in-vitro fertilization embryo-transfer.

It can be diagnosed early by ultrasound.

This remains a challenge in lower middle income countries where the availability of high resolution ultrasound and the skill for such sonography may be lacking.

Misdiagnosis or a delay in diagnosis often leads to poor treatment outcomes.

We present a case of a gravida 3 para 2 + 0 who had laparotomy for a caesarean scar pregnancy and highlight the challenges associated with diagnosis and management of this rare ectopic pregnancy in a lower middle income country.