TITLE:
The Largest Documented Caesarean Scar Ectopic Managed Laparoscopically: A Case Report
AUTHORS:
Divyesh V. Shukla, Pruthaben D. Verma, Shilpi D. Shukla, Shivani Shukla
KEYWORDS:
Ectopic Pregnancy, Cesarean Scar Ectopic Pregnancy (CSEP), Trans Vaginal Ultrasound (TVS), Laparoscopic Surgical Management, Largest Size Scar Ectopic Pregnancy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.7,
July
29,
2025
ABSTRACT: Cesarean scar ectopic is added to the list of ectopic pregnancy. It has become 2nd common site of ectopic pregnancies the after tubal pregnancy. With the global rise in cesarean sections, cesarean scar ectopic pregnancies are being diagnosed more frequently. During a first-trimester ultrasound, in the absence of a gestational sac in the uterine cavity and with a history of previous cesarean sections or uterine surgeries, the anterior myometrium above the internal OS should be observed for a scar ectopic. Delay in diagnosis increases maternal morbidity. This case report presents a patient with an undiagnosed scar ectopic pregnancy beyond 12 weeks of gestation, which had grown to a large size. This is the largest size of scar ectopic pregnancy reported and treated by laparoscopic surgery.