Biswas R, Saxena P, Gupta U, Choudhary N, Chawla R
Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India.
Kathmandu Univ Med J (KUMJ). 2016;14(56):376-379.
Pregnancy over the cesarean scar is the rarest cause of ectopic pregnancy and development of persistent trophoblastic disease at the scar site is extremely rare. A high index of suspicion is needed for early diagnosis and management of cesarean scar molar pregnancy. This condition is difficult to diagnose and must be considered in the patient with a history of cesarean section who has persistent vaginal bleeding or symptoms of pregnancy after suction evacuation. Diagnosis can be confirmedby measuring ß Human Chorionic Gonadotropin levels, transvaginal ultrasound with doppler flow evaluation. As this is an uncommon condition, this case report with conservative non surgical approach will add up to its clinical spectrum.
剖宫产瘢痕部位妊娠是异位妊娠最罕见的原因，而瘢痕部位持续性滋养细胞疾病的发生极为罕见。早期诊断和处理剖宫产瘢痕部位妊娠需要高度的怀疑指数。这种情况很难诊断，对于有剖宫产史且在吸宫术后仍有持续阴道出血或妊娠症状的患者必须予以考虑。通过检测β人绒毛膜促性腺激素水平、经阴道超声及多普勒血流评估可确诊。由于这是一种罕见情况，本病例报告采用保守非手术方法将丰富其临床谱。
