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​Cihat Şen, ​Nicola Volpe

Daniel Rolnik, Mar Gil, Murat Yayla, Oluş Api

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Resul Arısoy

Article info

Cesarean scar pregnancy: a case report. Perinatal Journal 2014;22(3):SE49-50 DOI: 10.2399/prn.14.S001084

Author(s) Information

Süreyya Demir1,
Bülent Demir1,
Gülser Bingöl1,
Sahra Çavuşoğlu1,
Mehmet Nafi Sakar2,
Deniz Balsak2

  1. T.C. Sağlık Bakanlığı Haseki Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği- İstanbul TR
  2. Diyarbakır Kadın-Doğum ve Çocuk Hastalıkları Hastanesi- Diyarbakır TR

Süreyya Demir, T.C. Sağlık Bakanlığı Haseki Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği- İstanbul TR,

Publication History
Conflicts of Interest

No conflicts declared.

Cesarean scar pregnancy is a rare type of ectopic pregnancy occurring by the invasion of the pregnancy created in the cesarean scar into the myometrium. Its incidence rate is 1/1800-1/2216 in all pregnancies and 0.15% for those with cesarean history. The greatest risk factor is the cesarean history. It is a life-threatening condition due to its complications. Early diagnosis and treatment is mostly lifesaving. In cesarean scar pregnancy, many treatment alternatives may be applied such as non-invasive treatment, dilatation and curettage, local or systemic methotrexate, surgical resection of trophoblastic tissue or uterine artery embolization. In this case, we aimed to present cesarean scar pregnancy treated by Foley catheter method after dilatation and curettage. Thirty-six-year-old G6P4A1 case referred to our clinic for delayed menstrual period. In the ultrasonography examination performed, we observed that the gestational sac compatible with 5 weeks of gestation was located in cesarean scar on lower uterine segment. We found from the medical history of the patient, she had cesarean section for 3 times and underwent D C once after abortion. All possible complications were explained to the patient, cervical dilatation was done first in the operating room by Hegar dilator accompanied with US, and the pregnancy product was aspirated by Karman's cannula. Upon the moderate bleeding of the patient, intracavitary Foley catheter was applied. The operation was ended by inflating the balloon of the catheter by 25-30 cc SF. Foley catheter was removed after 24 hours and when there was no postoperative bleeding, and she was discharged in health condition.

Cesarean scar pregnancy, dilatation and curettage, ectopic pregnancy.