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28 March 2024

Rare cesarean scar pregnancy treated

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By Wam

Tawam Hospital, in affiliation with Johns Hopkins Medicine, reported that a patient with a rare case of Cesarean Scar live Pregnancy, a prevalence of 1 in 2500 in pregnant women, was treated successfully by team of highly qualified Tawam physicians and was discharged within three days following the surgery.

Cesarean Scar Pregnancy is a rare type of ectopic pregnancy which is implanted in the scar of previous caesarean sections. An ultrasound at Tawam Hospital confirmed the patient's 10-week live fetus within the scar. The treatment required a multidisciplinary approach.

The first stage of treatment is counseling, said Dr. Wafa Al Omari, Consultant OBG Physician at Tawam Hospital. "As physicians, we have a duty to explain to the patient and her family about the rarity and the severity of her case as well as the course of treatment. Such complicated pregnancy cases carry a high risk of bleeding and uterine rupture. However, early detection, advanced ultrasound imaging and highly skilled physicians can help prevent catastrophic complications." The delicate treatment required ultrasound-guided fetocide, uterine artery embolization (a minimally invasive procedure to occlude the uterine arteries) and suction evacuation for the conceptus done vaginally. The procedure was accomplished safely and successfully with minimum blood loss.

Commenting on her case, the patient said: "I visited few clinics during my pregnancy but only Tawam Hospital confirmed it was an ectopic pregnancy. The doctors explained the uniqueness of the case and the treatment method. The procedure was done successfully and without any complications. Had I not been to Tawam, the complications would have been severe but thanks to Tawam's experts and their counseling, undivided attention and care, I was back in my home three days after my operation." The delicate treatment required ultrasound-guided fetocide, uterine artery embolization (a minimally invasive procedure to occlude the uterine arteries) and suction evacuation for the conceptus done vaginally. The procedure was accomplished safely and successfully with minimum blood loss.

(Home page image courtesy Shutterstock)