Cesarean Scar Pregnancy: Case Series

Munizar Munizar; Febrina Yolanda; Niken Asri Utami

doi:10.24198/obgynia.v7i3.745

Cesarean Scar Pregnancy: Case Series

Munizar Munizar, Febrina Yolanda, Niken Asri Utami

Abstract

Introduction: Cesarean scar pregnancy (CSP) is a serious ectopic pregnancy where the embryo is embedded in scar tissue from a previous cesarean section. This study aims to report four cases of CSP and discuss their management.
Case Report: The reported cases involved three women in the 1st and 2nd trimesters of pregnancy who experienced vaginal bleeding and abdominal pain. CSP was diagnosed via transvaginal ultrasonography. Treatment involves exploratory laparotomy, segmental hysterotomy, and resection of abnormal tissue.
Conclusion: All patients were diagnosed with cesarean scar pregnancy (CSP) based on ultrasound findings showing abnormal tissue and hypervascularization in the cesarean scar. A surgical procedure was performed to treat the condition, and the patients’ condition stabilized post-surgery. CSP is becoming increasingly prevalent with the rising number of cesarean deliveries. Early diagnosis via transvaginal ultrasound is essential to prevent serious complications, such as placenta accreta. Treatment varies from medical therapy to surgical procedures, depending on the patient’s condition. Education regarding the risks of CSP in subsequent pregnancies is highly recommended.

Kehamilan Pada Operasi Bekas Caesarea

Abstrak
Pendahuluan: Kehamilan bekas luka sesar (CSP) merupakan kehamilan ektopik yang serius, dengan embrio tertanam pada jaringan parut dari operasi caesar sebelumnya. Penelitian ini bertujuan untuk melaporkan empat kasus CSP dan membahas penanganannya.
Laporan Kasus: Kasus yang dilaporkan melibatkan tiga Wanita hamil trimester pertama dan kedua yang mengalami perdarahan pervaginam dan nyeri abdomen. Diagnosis CSP dilakukan melalui ultrasonografi transvaginal. Penanganan melibatkan laparatomi eksplorasi, hysterotomi segmental, dan reseksi jaringan abnormal.
Kesimpulan: CSP merupakan kondisi yang semakin sering terjadi seiring dengan meningkatnya jumlah persalinan sesar. Diagnosis awal melalui USG transvaginal sangat penting untuk mencegah komplikasi yang serius, seperti plasenta akreta. Penanganan bervariasi dari terapi medikamentosa hingga prosedur bedah, tergantung pada kondisi pasien. Edukasi mengenai risiko CSP pada kehamilan berikutnya sangat dianjurkan. Semua pasien didiagnosis dengan CSP berdasarkan temuan USG yang menunjukkan jaringan abnormal dan hipervaskularisasi pada bekas luka sesar. Prosedur bedah dilakukan untuk mengatasi kondisi ini, dan setelah operasi, kondisi pasien stabil.

Kata kunci: Pregnancy, Caesarean, Scar.

Keywords

Pregnancy, Cesarean, Scar

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DOI: http://dx.doi.org/10.24198/obgynia.v7i3.745