Authors: Lukáš Vaněk; Jan Zapletal; Borek Sehnal; Lukáš Rob; Michael J. Halaška Authors‘ workplace: Gynekologicko-porodnická klinika 3. LF UK a FN Královské Vinohrady, Praha Published in: Ceska Gynekol 2025; 90(6): 463-468 Category: Case Report doi: https://doi.org/10.48095/cccg2025463
Caesarean scar pregnancy is a rare form of ectopic pregnancy. It can be reliably diagnosed through transvaginal ultrasonography, typically during the 1st or early 2nd trimester. While one-third of patients remain asymptomatic, others may develop severe complications. The most common symptoms are vaginal bleeding and abdominal pain, with rare cases involving uterine rupture or the development of placenta accreta spectrum. Caesarean scar pregnancy is associated with a risk of various complications and poses a risk factor for future pregnancies. In many cases, surgical intervention cannot be avoided. Treatment options include surgical management or medical therapy. In some cases, an expectant management approach may be chosen. No single treatment method has yet been definitively established as sufficiently rapid, safe, and effective. This case report presents a patient with twin pregnancy in a caesarean scar, in whom a conservative approach was chosen due to the low gestational age. Additionally, we provide a literature review of the current therapeutic options for managing this challenging condition.
ectopic pregnancy – pregnancy – caesarean scar pregnancy – twin pregnancy
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ORCID autorů
L. Vaněk 0009-0006-1908-2052
J. Zapletal 0000-0003-2705-2970
B. Sehnal 0000-0003-2622-2181
L. Rob 0000-0003-3770-651X
M. J. Halaška 0000-0001-6404-4537
Doručeno/Submitted: 7. 7. 2025
Přijato/Accepted: 10. 7. 2025
MUDr. Lukáš Vaněk
Gynekologicko-porodnická klinika
3. LF UK a FNKV
Šrobárova 1150/50
100 34 Praha 10
lukas.vanek@fnkv.cz
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