Third trimester cesarean scar pregnancy: a case report at 31 weeks of gestation

Abstract

Cesarean scar pregnancy (SSG) is a rare form of ectopic pregnancy that develops with the implantation of the gestational sac over the scar of the previous uterine incision. It has become more common with the increasing number of cesarean sections around the world. The development and widespread use of transvaginal ultrasonographic examinations allows us to identifySSG diagnoses at more and earlier weeks. SSG carries a high risk of morbidity due to uterine rupture and excessive bleeding, and timely treatment is very important. In present study, scar pregnancy of 31 gestational weeks wasended. The diagnosis of pregnancy of a 37-year-old mother was first made by ultrasonography in the first trimester, and the diagnosis was confirmed by magnetic resonance imaging in the second trimester of pregnancy. The patient diagnosed with scar pregnancy did not accept the termination procedure and did not come to the control examinations.The patient applied to the emergency department at 31 weeks of gestation with the complaint of vaginal bleeding and cramping abdominal pain. Upon detection of intrauterine fetal death and uterine rupture, the patient underwent emergency cesarean operation and then hysterectomy when the bleeding did not stop. This case is described because of the scar pregnancy that continues until 31 weeks of gestation.