TY - JOUR T1 - Successful Management of Caesarean Scar Ectopic Pregnancies: A Report of Five Cases T2 - Journal of Reproduction & Infertility JT - Journal of Reproduction & Infertility SP - 220 EP - 225 VL - 22 IS - 3 PY - 2021 SN - 2251-676X L1 - https://www.jri.ir/documents/fullpaper/en/120127.pdf L2 - https://www.jri.ir/article/120127 UR - https://www.jri.ir/en/currentissue.aspx?id=88 PB - Avicenna Research Institute AU - Malhotra, Neena AU - Noor, Nilofar AU - Bansal, Piyush AU - Sharma, K. Aparna AB -

Background: Cesarean section scar ectopic pregnancy (CSEP) is a rare and poten-tially life-threatening condition. A standardized management protocol is yet to be established owing to limited data available.
Case Presentation: In this paper, five cases of CSEP over a period of 18 months at a tertiary referral hospital, managed medically with methotrexate administered both systemically and into the gestational sac at the time of feticide with potassium chloride (KCL) are presented. Surgical management was the second line therapy when medical treatment failed.
Conclusion: With rising trends in cesarean deliveries, CSEP may be a challenge which requires close investigation regarding its diagnosis and treatment on the merits of case studies and available healthcare facilities.

CY - Tehran, Iran LA - English