Syed Rifat, Sinha Prabha, El – Halwagy Hosam, Brompton Wendy
Department of Obstetrics and Gynecology, Conquest hospital, East Sussex Healthcare NHS Trust, United Kingdom
Correspondence: Syed Rifat, Conquest hospital, East Sussex healthcare, NHS Trust, United Kingdom, E – mail: firstname.lastname@example.org
A case of a cesarean section scar pregnancy with a diagnostic dilemma is presented. Due to a decrease in β – hCG after 48 hours, the patient was diagnosed with a failing pregnancy and was given misoprostol. However, β – HCG was still high and the patient had a severe vaginal bleeding after a month of medical management. Evacuation curettage under laparoscopic guidance was performed and the bleeding was successfully stopped using a Bakri balloon.
Keywords: cesarean section, misoprostol, ultrasonography, laparoscopy, evacuation curettage, Bakri balloon