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Indian Journal of Obstetrics and Gynecology 14(1):p 23-27, Jan - April 2026. | DOI: 10.21088/ijog.2321.1636.14126.4
Case Report
Emergency Management of Cesarean Scar Pregnancy: A Rare Case of Life-Threatening Obstetric Hemorrhage
Juhi Deshpande, Sujata Singh, Harjeet Kaur Kapoor, Manjari Gupta, Shagun Tiwari
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Obstetrics and Gynecology 14(1):p 23-27, Jan - April 2026. | DOI: 10.21088/ijog.2321.1636.14126.4
How Cite This Article:
Juhi Deshpande, Sujata Singh, Harjeet Kaur Kapoor et al, Emergency Management of Cesarean Scar Pregnancy: A Rare Case of Life-Threatening Obstetric Hemorrhage. Indian J Obstet Gynecol. 2026; 14(1): 23-27.Timeline
Received : March 19, 2026
Accepted : April 11, 2026
Published : May 30, 2026
Abstract
Background: Ectopic pregnancy is a primary cause of maternal mortality, with Cesarean Scar Pregnancy (CSP) representing a rare but life-threatening variant where implantation occurs within the myometrium of a previous surgical scar. Case Presentation: A 30-year-old woman (G3P2L2) with two prior cesarean sections presented with a five-day history of vaginal bleeding. Initial ultrasonography suggested retained products of conception. During a planned evacuation and curettage, the patient experienced sudden, torrential hemorrhage unresponsive to conservative measures. Based on the surgical history and adherence of products to the scar site, a diagnosis of CSP was made. To control the life-threatening bleeding, an emergency obstetric hysterectomy was performed. The patient was stabilized with blood transfusions and had an uneventful recovery. Discussion: CSP and placenta accreta exist on a pathological continuum. Early diagnosis via transvaginal sonography is critical, as pproximately 13% of cases are initially misdiagnosed as spontaneous abortions. Key sonographic markers include an empty uterine cavity and myometrial thinning between the bladder and gestational sac.
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Juhi Deshpande, Sujata Singh, Harjeet Kaur Kapoor et al, Emergency Management of Cesarean Scar Pregnancy: A Rare Case of Life-Threatening Obstetric Hemorrhage. Indian J Obstet Gynecol. 2026; 14(1): 23-27.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| March 19, 2026 | April 11, 2026 | May 30, 2026 |
DOI: 10.21088/ijog.2321.1636.14126.4
Keywords
Cesarean Scar PregnancyEctopic PregnancyMaternal MortalityTransvaginal SonographyObstetric HysterectomyHigh-Risk PregnancyMaternal MorbiditySearch for Similar Articles
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Timeline
| Received | March 19, 2026 |
| Accepted | April 11, 2026 |
| Published | May 30, 2026 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
