RECURRENT CESAREAN SCAR PREGNANCY : A CASE REPORT
DOI:
https://doi.org/10.31004/jkt.v6i4.52051Keywords:
CSP, Cesarean Scar Pregnancy, Recurrent, UltrasoundAbstract
CSP adalah jenis kehamilan ektopik di mana kantung kehamilan tertanam di dalam bekas luka operasi caesar sebelumnya. Kehamilan pada bekas luka sesar adalah bentuk kehamilan ektopik di mana kantung kehamilan menempel pada bekas luka dari operasi sesar sebelumnya, dengan insidensi 1:1800 hingga 1:2500 kehamilan. Penundaan diagnosis dapat meningkatkan morbiditas dan komplikasi seperti spektrum placenta accreta, robekan rahim, pendarahan parah, dan kematian. Kami melaporkan kasus seorang wanita berusia 41 tahun, G4P2A1 (EP1), hamil 6 minggu 2 hari dengan kehamilan ektopik pada bekas luka sesar yang berulang. Pasien memiliki riwayat dua operasi sesar dan satu kehamilan pada bekas luka sesar sebelumnya yang menjalani terapi Methotrexate (MTX) diikuti dengan prosedur dilatasi dan kuretase pada tahun 2019. Ultrasonografi menunjukkan bahwa kantong kehamilan terletak di bekas luka sesar dengan denyut jantung janin 129 kali per menit. Dalam kasus ini, Methotrexate diberikan, diikuti dengan reseksi bedah dan rekonstruksi bekas luka sesar. Pasien pulang dalam kondisi baik tanpa komplikasi setelah 3 hari perawatan. Hasil patologi anatomi mengonfirmasi diagnosis kehamilan di bekas luka sesar. Pasien hamil, terutama yang memiliki riwayat kehamilan di bekas luka sesar sebelumnya, disarankan untuk menjalani pemeriksaan ultrasonografi pada trimester pertama untuk menentukan lokasi kehamilan. Diagnosis dini kehamilan di bekas luka sesar dapat mengurangi morbiditas dan komplikasi.References
Apriliyani, S. N., Adinata, D. G., & Tjahja, R. (2024). Case Report: Cesarean Scar Pregnancy in 8 Weeks Pregnancy with History of Recurrent Pregnancy Loss. Indonesian Journal of Obstetrics & Gynecology Science, 7(3), 1–5.
Ashar, H., & Kusrini, I. (2020). Determinant of the Increased Sectio Caesarea Labor Rates of Indonesia in 2017. 4th International Symposium on Health Research (ISHR 2019), 268–272.
Bolanca, I., Butorac, D., Eljuga, D., Djakovic, I., Ezgeta, J., Kuna, K., Tuckar, N., & Kraljevic, Z. (2016). Repeated cesarean scar pregnancy - Case report. Clin Exp Obstet Gynecol, 43(5), 774–776.
Hameed, M. S. S., Wright, A., & Chern, B. S. M. (2023). Cesarean Scar Pregnancy: Current Understanding and Treatment Including Role of Minimally Invasive Surgical Techniques. Gynecology and Minimally Invasive Therapy, 12(2), 64–71. https://doi.org/10.4103/gmit.gmit_116_22
Kinsey, A. (2024). Recurrence in Cesarean Section Scar Ectopic Pregnancies. Journal of Diagnostic Medical Sonography, 40(3), 285–287. https://doi.org/10.1177/87564793231217721
Masihi, S., Moramezi, F., Saadati, N., & Rashidi, S. (2025). Outcomes and Complications of Cesarean Scar Pregnancy: A Retrospective Study. Journal of Obstetrics, Gynecology and Cancer Research, 10(5), 405–410. https://doi.org/10.30699/jogcr.10.5.405
Miller, R., & Gyamfi-Bannerman, C. (2022). Society for Maternal-Fetal Medicine Consult Series #63: Cesarean scar ectopic pregnancy. American Journal of Obstetrics Gynecology, 227(3), 9–20.
Mohapatra, I., & Samantray, S. R. (2021). Scar Ectopic Pregnancy - An Emerging Challenge. Cureus, 13(7). https://doi.org/10.7759/cureus.16673
Morlando, M., Buca, D., Timor‐Tritsch, I., Cali, G., Palacios‐Jaraquemada, J., Monteagudo, A., Khalil, A., Cennamo, C., La Manna, V., Liberati, M., D’Amico, A., Nappi, L., Colacurci, N., & D’Antonio, F. (2020). Reproductive outcome after cesarean scar pregnancy: A systematic review and meta‐analysis. Acta Obstetricia et Gynecologica Scandinavica, 99(10), 1278–1289. https://doi.org/10.1111/aogs.13918
Ndubizu, C., McLaren, R. A., McCalla, S., & Irani, M. (2017). Recurrent Cesarean Scar Ectopic Pregnancy Treated with Systemic Methotrexate. Case Reports in Obstetrics and Gynecology, 2017(1). https://doi.org/10.1155/2017/9536869
Nuryana, R., Elsanti, D., & Sumarmi, S. (2024). Kualitas Hidup Terkait Kesehatan Pada Ibu Hamil Pasca Operasi Caesar: Studi Longitudinal. Jurnal Keperawatan Muhammadiyah, 9(4).
Qian, Z.-D., Guo, Q.-Y., & Huang, L.-L. (2014). Identifying risk factors for recurrent cesarean scar pregnancy: a case-control study. Fertility and Sterility, 102(1), 129–134. https://doi.org/10.1016/j.fertnstert.2014.04.003
Timor‐Tritsch, I. E., Horwitz, G., D’Antonio, F., Monteagudo, A., Bornstein, E., Chervenak, J., Messina, L., Morlando, M., & Cali, G. (2021). Recurrent Cesarean scar pregnancy: case series and literature review. Ultrasound in Obstetrics & Gynecology, 58(1), 121–126. https://doi.org/10.1002/uog.23577
Valasoulis, G., Magaliou, I., Koufidis, D., Garas, A., & Daponte, A. (2022). Caesarean Scar Pregnancy: A Case Report and a Literature Review. Medicina, 58(6), 740. https://doi.org/10.3390/medicina58060740
Yiing, L. Y., Tony, B., & Alero, A. (2017). A Rare Case of Recurrent Caesarean Scar Ectopic Pregnancy after Wedge Resection of Caesarean Scar Ectopic Pregnancy. Gynecol Reprod Health, 1(2), 1–4.
Ying An, T., Nagandla, K., Kumar, K., & Daniel, A. (2024). Caesarean section scar pregnancy: a case series. International Surgery Journal, 11(4), 612–616. https://doi.org/10.18203/2349-2902.isj20240752
Zhou, X., Li, H., & Fu, X. (2020). Identifying possible risk factors for cesarean scar pregnancy based on a retrospective study of 291 cases. Journal of Obstetrics and Gynaecology Research, 46(2), 272–278. https://doi.org/10.1111/jog.14163
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