A CASE OF CESAREAN SCAR ECTOPIC MOLAR PREGNANCY SRIDEVI R RAJENDRAN

Abstract

A Cesarean Scar ectopic pregnancy is a rare type that get implanted in cesarean scar. Incidence is 1 in 1800-2200 pregnancy. Because of increasing cesarean sections brought to light Such rare complications. If early diagnosis  issed the women future fertility and her life            Endangered due to life threatening complication uterine  rupture and haemorrhage. 35 yr G6P3L3A2 previous 3 LSCS referred to our hospital with 6 wks gestation attempted medical abortion trans vaginal USG revealed empty uterine cavity with gestation sac with yolk sac and cardiac activity in anterior myometrium in scar area .Managed with laparotomy and evacuation of sac .Histopathology revealed partial mole . Serum Beta HCG gradually declined on follow up period.We report the case to accumulate experience to improve  understanding of the condition and for appropriate treatment plan. We present a case of molar pregnancy near cesarean scar.