Managing Triple Cesarean Scar Pregnancy: A Case Report Highlighting Surgical and Medical Interventions

Abstract

This case report presents a 37-year-old woman with a history of three previous cesarean sections, who was diagnosed with a cesarean scar pregnancy involving three separate gestational sacs. The management included a combination of surgical intervention via hysteroscopy and medical treatments such as lidocaine injections and methotrexate administration. Close monitoring of beta-hCG levels and ultrasound examinations played a crucial role in tracking the patient's progress and confirming the successful resolution of the pregnancy. The patient's recovery and the normalization of beta-hCG levels post-treatment highlight the importance of timely intervention and comprehensive follow-up care in managing cesarean scar pregnancies. This case report underscores the importance of individualized treatment strategies and patient-centered care in achieving optimal outcomes for individuals affected by this condition. The objectives are to highlight the diagnostic challenges, discuss the management approach, and emphasize the importance of personalized care in cesarean scar pregnancies. The report also seeks to enhance understanding of this rare but potentially life-threatening condition, emphasizing the necessity for prompt diagnosis and tailored treatment strategies.