The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

+90 850 321 50 00

Cesarean Scar Ectopic Pregnancy

Implantation in a cesarean scar requires early multidisciplinary treatment to prevent future morbidity.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Cesarean Scar Ectopic Pregnancy?

CSP is diagnosed by transvaginal ultrasound when the gestational sac is seen in the lower uterine segment within the cesarean niche. If the pregnancy progresses, there is a high risk of placenta accreta spectrum and uterine rupture.

Treatment options include systemic or local methotrexate, suction curettage, hysteroscopic resection, laparoscopic wedge resection, and uterine artery embolization. Fertility-sparing approaches are generally preferred.

In subsequent pregnancies, recurrence of CSP, repair of the scar defect, and careful follow-up should be planned. Hysterectomy is considered only in selected cases of massive bleeding or treatment failure.

Symptoms

Vaginal bleeding in early pregnancy
Low pelvic pain
Abnormal beta-hCG rise
Scar localization on ultrasound
Sac visualized within the scar niche
Presence of fetal cardiac activity

Risk Factors

History of more than one cesarean section
Scar defect (niche)
IVF pregnancy
History of dilatation and curettage
Late diagnosis in the first trimester
Adenomyosis

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Early bleeding in pregnancy with a cesarean history
  • Suspicion of a scar-localized sac on ultrasound findings
  • Abnormal beta-hCG trend
  • Emergency department for massive bleeding

Treatment Methods

01
Systemic and intrasaccular methotrexate
02
Ultrasound-guided aspiration
03
Hysteroscopic resection
04
Laparoscopic wedge resection and scar repair
05
Uterine artery embolization
06
Hysterectomy (last resort)

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

Book AppointmentContact Us

Related Health Topics

Other articles from the same department you may want to explore.

Regular Gynecological Check-up

Kadın Hastalıkları ve Doğum

Regular gynecological check-ups enable early diagnosis of many women's diseases and increase treatment success. It is recommended that every sexually active woman or woman over 21 see a gynecologist at least once a year.

Cervical Cancer

Kadın Hastalıkları ve Doğum

Cervical cancer develops from uncontrolled growth of cells in the cervix and is among the most common women's cancers worldwide. Precancerous lesions can be recognized with regular Pap smear and HPV testing.

HPV and Vaccination

Kadın Hastalıkları ve Doğum

HPV is a common virus transmitted sexually that can lead to certain types of cancer. Vaccination provides over 90% protection against high-risk HPV strains.

Ovarian Cyst

Kadın Hastalıkları ve Doğum

Ovarian cysts are fluid-filled sacs that form in or on the ovarian tissue. Most are asymptomatic and disappear spontaneously; however, large or complex cysts can cause pain and complications.

Endometriosis

Kadın Hastalıkları ve Doğum

Endometriosis affects about 10% of women of reproductive age, causing cyclic pelvic pain, dysmenorrhea, dyspareunia, and infertility; combined medical and laparoscopic treatment improves quality of life.

Uterine Fibroids

Kadın Hastalıkları ve Doğum

Uterine fibroids are benign tumors developing from the uterine muscle layer. They affect 20-50% of women of reproductive age; most are asymptomatic, but can cause bleeding and pain.

Polycystic Ovary Syndrome (PCOS)

Kadın Hastalıkları ve Doğum

PCOS is the most common endocrine disease affecting approximately 10% of women of reproductive age, characterized by androgen excess, ovulation disorder, and polycystic ovarian appearance.

Menopause

Kadın Hastalıkları ve Doğum

Menopause is the life stage defined by not having a period for 12 consecutive months and the natural cessation of ovarian function. The average age is 51, but it can vary between 45-55 years.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.