Özet:

Introduction: Cesarean scar pregnancy is the rarest kind but serious complication of ectopic pregnancy. Early diagnosis is based on high index of suspicion. Early diagnosis, may influence the treatment choice. If early diagnosis is missed, fertility would be at risk. Accurate diagnosis is essential. Case: A 35 year-old woman gravida 4, para 3, with a history of Cesarean section before 6 months ago, was admitted to hospital with minimal vaginal bleeding and modarate pelvic pain. Ultrasonographic evaluation revealed a regular well defined gestational sac(GS) located in the lower segment of anterior uterine wall, adjacent to the vesicouterine space, 12*16*11 mm in size (5week 6 day), but the fetal node and yolc sac was not visible. The case was managed by dilatation and cürettage assisted with ultrasonography. But procedure was unsuccessful. GS still has being persisting. Patient was followed up by expactant management. The hCG resolution time was 40-50 days. Normal uterin anatomy was achieved after 103 days without complications. About 6 months later the patient have concieved intrauterin pregnancy. Conclusion: Early diagnosis is essential to avoid serious complications. CSP should be diagnosed and treated as soon as possible to reduce morbidity and preserve fertility. Expectant management can be performed for selected patients in non viable early first trimester pregnancy.

Anahtar Kelimeler: