O. Toader, A. Vintea, A. Voichitoiu, N. Suciu, M. Cirstoiu, S. Esanu, R. Bohiltea
Abstract: The caesarian scar pregnancy is a rare form of ectopic pregnancy. It is a medical challenge because of the difficulties
in diagnosis and treatment. We present the case of a 32 years old woman with 8 weeks amenorrhea and a pregnancy
positive test, who was admitted to hospital for lower abdominal pain. Her history is unremarkable, except for a previous
pregnancy finalized by caesarian-section. The diagnosis was caesarian scar pregnancy. The first treatment option was
systemic Methotrexate. After 3 doses, because there was no visible effect on the pregnancy, the patient was referred to
other clinic for uterine artery embolization. One week after the embolization, a suction curettage was performed with
elimination of the gestational sac from the scar tissue. The follow up so far showed no defect in the uterine wall.
DOI:10.18643/gieu.2017.23