Managing Caesarean Scar Pregnancy in low Resource Settings: 2 Case Reports and a Description of Transrectal Ultrasound guided Surgical Approach (TRUGA)

Uche A Menakaya, Tihomir Djordjic, Rhett Morton, Sarah Crook, Bruno Giorgio, Fernando Infante, George Condous
2015 African Journal of Reproductive Health  
Caesarean scar pregnancy (CSP) occurs when an embryo implants in a previous caesarean section scar. It has a reported incidence of 1 in 1800. Various surgical and medical techniques have been described in case reports for the management of CSP. These techniques are usually undertaken in tertiary level units with significant resource availability. In this paper, we present a new clinical perspective for the management of CSP in low resource settings and describe the steps involved in a
more » ... lved in a transrectal ultrasound guided approach with dilatation of uterine cervix and subsequent evacuation of uterine contents (TRUGA with D&C).
pmid:26897910 fatcat:titdy7pkkjf33lydr3pz7uuwia