Cesarean scar pregnancy: A report of three cases and a critical review on the management

Abstract

One of the rarest forms of ectopic pregnancy is represented by the implantation of pregnancy on the scar of cesarean section. The implant in the uterine scar tissue exposes the patient to a risk of massive bleeding, uterine rupture, and penetration by the syncytiotrophoblast into the bladder wall. Currently, there is no consensus on the optimal management of this condition. The medical, surgical, and radio-interventional approaches are all contemplated. Here the authors report and discuss the diagnosis and treatment of three cases of caesarean scar pregnancies.