Caesarean Scar Pregnancy: A Case Report

Authors

  • Saramsika Bhandari Department of Obstetrics and Gynaecology Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu, Nepal. Author
  • Ganesh Dangal Department of Obstetrics and Gynecology, Kathmandu Model Hospital, National Academy of Medical Sciences (NAMS), Mahaboudha, Nepal and Department of Obstetrics and Gynecology, Nepal Mediciti Hospital, Nakhu, Lalitpur, Nepal. Author
  • Aruna Karki Department of Obstetrics and Gynaecology Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu, Nepal. Author
  • Hema Kumari Pradhan Department of Obstetrics and Gynaecology Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu, Nepal. Author
  • Ranjana Shrestha Department of Obstetrics and Gynaecology Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu, Nepal. Author
  • Kabin Bhattachan Department of Obstetrics and Gynaecology Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu, Nepal. Author
  • Sadhana Sah Department of Obstetrics and Gynaecology Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu, Nepal. Author

DOI:

https://doi.org/10.68225/qfjt1z29

Keywords:

caesarean scar pregnancy, ectopic pregnancy, hysteroscopy, manual vacuum aspiration

Abstract

Caesarean scar pregnancy (CSP) is a rare and potentially life-threatening form of ectopic pregnancy implanted at a previous caesarean section scar. Early diagnosis is essential to prevent severe haemorrhage and uterine rupture. A 31-year-old G6P2+3L2 with two previous caesarean section presented at 9 weeks and 5 days. Transvaginal ultrasonography revealed a gestational sac at the caesarean scar without cardiac activity. She underwent diagnostic hysteroscopy which revealed gestational sac at the lower uterine segment. Manual vacuum aspiration (MVA) was done. Hysteroscopy allowed direct visualization and safe removal of gestational tissue.

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Published

2026-09-15

Issue

Vol. 1 No. 1 (2026)

Section

Case Report

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.