Methotrexate therapy followed by laparotomy to manage a viable first-trimester cesarean scar ectopic pregnancy in a low-resource setting: A case report

Abhigan Babu Shrestha; Sajina Shrestha; Ariful Islam Ovi; Tasnim Ayesha; Sima Basak; Minara Parvin Soma; Mst Irine Parvin

doi:10.1016/j.crwh.2022.e00454

Methotrexate therapy followed by laparotomy to manage a viable first-trimester cesarean scar ectopic pregnancy in a low-resource setting: A case report

Case Rep Womens Health. 2022 Oct 5:36:e00454. doi: 10.1016/j.crwh.2022.e00454. eCollection 2022 Oct.

Authors

Abhigan Babu Shrestha¹, Sajina Shrestha², Ariful Islam Ovi¹, Tasnim Ayesha³, Sima Basak³, Minara Parvin Soma³, Mst Irine Parvin³

Affiliations

¹ M Abdur Rahim Medical College, Dinajpur, Bangladesh.
² KIST medical college, Imadol, Patan, Nepal.
³ Department of Gynecology and Obstetrics, M Abdur Rahim Medical College, Dinajpur, Bangladesh.

Abstract

Cesarean scar ectopic pregnancy (CSEP) is rare, occurring in 1:1800 to 1:2625 pregnancies. It is classified into two types: endogenous, which grows inside the uterine cavity; and exogenous, which grows outward, toward the bladder. Both types are associated with increased maternal morbidity and mortality. The case report describes a 25-year-old woman with a viable first-trimester CSEP treated with both methotrexate and operative resection. Management was in a low-resource setting.

Keywords: Cesarean scar pregnancy; Ectopic pregnancy; Low-resource setting; Viable ectopic pregnancy.

Publication types

Case Reports