Pregnancy on scar

Author(s): Mraihi Fathi, Basly Jihene, Moussi Marwa, Hafsi Montacer, Ghali Zeineb, Moussa Fatma, Chelli Dalenda

Scar pregnancy, characterized by the implantation of a pregnancy on a previous uterine scar, is a rare and complex condition. This article presents a series of 11 cases of scar pregnancies, providing insights into the clinical features, diagnostic methods, and management strategies employed. A retrospective analysis was conducted on 11 cases of scar pregnancies diagnosed and managed at our institution between (date range. Patient demographics, obstetric history, presenting symptoms, ultrasound findings, serum beta-Human Chorionic Gonadotropin (β-hCG) levels, and treatment outcomes were evaluated. The study cohort had a mean age of (mean age) years, with an age range of (age range). All patients had a history of previous cesarean section. Vaginal bleeding was the most common presenting symptom, followed by abdominal pain. Transvaginal ultrasound played a pivotal role) in diagnosis, revealing characteristic features such as an empty uterine cavity, gestational sac within the scar tissue, and absence of myometrial layer. Serum β-hCG levels were monitored to assess the progression and viability of the pregnancies. Management approaches included medical treatment with methotrexate, surgical intervention via dilatation and curettage, and, in some cases, hysterectomy. Scar pregnancy represents a rare and challenging condition that necessitates prompt recognition and appropriate management to mitigate potential complications such as uterine rupture and maternal morbidity. This series of 11 cases contributes to the existing body of knowledge by elucidating the clinical manifestations, diagnostic modalities, and therapeutic interventions for scar pregnancies. Further research is warranted to refine our understanding of this condition and optimize its management strategies