Article Text

Download PDFPDF
Management of a case of caesarean scar pregnancy and all its complications
  1. Shuling Liu1,
  2. Shivani Durai2
  1. 1Department of Reproductive Medicine, KK Womens' and Childrens' Hospital, Singapore, Singapore
  2. 2Department of Obstetrics & Gynaecology, Singhealth, Singapore, Singapore
  1. Correspondence to Dr Shivani Durai, dr.shivani.durai{at}


Caesarean scar pregnancy is a rare form of an ectopic pregnancy that can lead to serious consequences like massive bleeding and uterine rupture. Although there is no consensus for treatment, many treatment options have been described. We present a female patient who had to undergo most of these available treatments due to unforeseen circumstances. These treatments include local injection of methotrexate and potassium chloride into the pregnancy, transcervical aspiration of the pregnancy under laparoscopic guidance, balloon occlusion of the internal iliac arteries and eventually a laparoscopic hysterectomy. She also developed a complication of vault dehiscence due to an abscess formation after her hysterectomy. Owing to the potential need for multiple interventions and admissions, adequate counselling is required for these patients to manage their expectations in what is usually a very difficult situation.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.