Publication:

Caesarean scar pregnancy with scar dehiscence - successful laparoscopic management and the review of literature

Caesarean scar ectopic pregnancy is a rare but potentially life threatening entity. The diagnosis and treatment of caesarean scar pregnancy is challenging. The true incidence has not been determined as there are only few cases reported in the literature. The optimal management of this condition is individualized based on various factors. Here we report a case of caesarean scar pregnancy with scar dehiscence which was successfully managed laparoscopically. Patient underwent laparoscopy with complete removal of trophoblastic tissue, repair of scar defect following prophylactic bilateral ligation of anterior division of internal iliac artery without need for blood transfusion. Laparoscopy is an effective and minimally invasive approach in dealing with scar pregnancy.