Caesarean Scar Pregnancy: Surgical Obstacles

Total Views: 141 | Total Downloads: 124


  • Rathimalar Kerisnan Department of Obstetrics & Gynaecology, Ampang Hospital, Selangor, Malaysia.
  • Vickneswaren Thever Ramasamy Department of Obstetrics & Gynaecology, Ampang Hospital, Selangor, Malaysia.





As a rare phenomenon, caesarean scar pregnancy has been found to be managed in many ways in literature. However, to date there lacks a general consensus on the management of caesarean scar pregnancy. In modern obstetrics nowadays, the incidence of caesarean deliveries has been rising. Due to the increase in caesarean section rates, the incidence of caesarean scar pregnancies is also on the rise. Even though the optimal management of caesarean scar pregnancy is unclear, the basic management is tailored according to the clinical presentation and fertility concerns of the individual.  Herein, we report a case of a ruptured caesarean scar pregnancy which was managed surgically via emergency laparotomy and hysterectomy.


Download data is not yet available.


Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG. 2007 Mar;114(3):253-63.

Wang, D. B., Chen, Y. H., Zhang, Z. F., Chen, P., Liu, K. R., Li, Y., & Fu, L. (2014). Evaluation of the transvaginal resection of low-segment cesarean scar ectopic pregnancies. Fertility and sterility, 101(2), 602-606.

Tolino, A., Battista, L., Chiacchio, G., Rania, E., Materazzo, C., & Palomba, S. (2010). Cervico-isthmic pregnancy developing within the scar of a previous cesarean section: a case report. Gynecological Surgery, 7(1), 43-47.

Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL, Hwang JL. Cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol. 2004 Mar;23(3):247-53. doi: 10.1002/uog.974

Chetty, M., & Elson, J. (2009). Treating non-tubal ectopic pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology, 23(4), 529-538.

Patel, M. A. (2015). Scar ectopic pregnancy. The Journal of Obstetrics and Gynecology of India, 65(6), 372-375.

Elson, C. J., Salim, R., Potdar, N., Chetty, M., Ross, J. A., & Kirk, E. J. (2016). Diagnosis and management of ectopic pregnancy. BJOG: an international journal of obstetrics and gynaecology, 123(13), e15-e55.

Rotas, M. A., Haberman, S., & Levgur, M. (2006). Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstetrics & Gynecology, 107(6), 1373-1381.

Sun, Y. Y., Xi, X. W., Yan, Q., Qiao, Q. Q., Feng, Y. J., & Zhu, Y. P. (2015). Management of type II unruptured cesarean scar pregnancy: Comparison of gestational mass excision and uterine artery embolization combined with methotrexate. Taiwanese Journal of Obstetrics and Gynecology, 54(5), 489-492.

Asif, S., Aijawi, S., & Agten, A. K. (2021). Caesarean scar pregnancy: Diagnosis and management. Obstetrics, Gynaecology & Reproductive Medicine, 31(10), 271-274.


DOI: 10.33102/mjosht.v8i2.200
Published: 2022-09-21

How to Cite

Kerisnan, R., & Vickneswaren Thever Ramasamy. (2022). Caesarean Scar Pregnancy: Surgical Obstacles . Malaysian Journal of Science Health & Technology, 8(2), 39–42.



Health Sciences