{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,6,14]],"date-time":"2023-06-14T14:31:44Z","timestamp":1686753104082},"reference-count":0,"publisher":"Journal of Nepal Medical Association (JNMA)","issue":"235","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Nepal Med Assoc"],"abstract":"<jats:p>Cesarean scar pregnancy is a rare form of ectopic pregnancy which may lead to uterine rupture and catastrophic hemorrhage. We report a case of cesarean scar pregnancy in a 35-year-old female with the past history of cesarean section presented with complaints of amenorrhoea for 6 weeks and non-specific\u00a0 pain. Two Transvaginal sonography was done 48 hours apart which suggested a cesarean scar pregnancy in one and cervical pregnancy on the other. Magnetic Resonace Imaging showed a well-defined cystic lesion of (21x19)mm2 embedded within the previous cesarean scar which confirmed the diagnosis of cesarean scar pregnancy. Laparotomy unveiled uterus around 6 weeks size and a (3x3)cm2 bulge was noted at the site of previous scar in lower uterine segment, where a small incision was given and the gestational sac was removed following which the uterine incision was closed with 2-0 polyglactin suture. High index of suspicion and prompt diagnosis is ofparamount for reducing morbidity and mortality.<\/jats:p>","DOI":"10.31729\/jnma.5202","type":"journal-article","created":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T10:29:55Z","timestamp":1620037795000},"source":"Crossref","is-referenced-by-count":2,"title":["Scar Pregnancy a Diagnostic Conundrum: A Case Report"],"prefix":"10.31729","volume":"59","author":[{"given":"Manoj","family":"Pokhrel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shreedhar Prasad","family":"Acharya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jyotshna","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meena","family":"Thapa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16919","published-online":{"date-parts":[[2021,3,31]]},"container-title":["Journal of Nepal Medical Association"],"original-title":[],"link":[{"URL":"http:\/\/www.jnma.com.np\/jnma\/index.php\/jnma\/article\/download\/5202\/3430","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.jnma.com.np\/jnma\/index.php\/jnma\/article\/download\/5202\/3430","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T10:29:55Z","timestamp":1620037795000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.jnma.com.np\/jnma\/index.php\/jnma\/article\/view\/5202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,31]]},"references-count":0,"journal-issue":{"issue":"235","published-online":{"date-parts":[[2021,3,31]]}},"URL":"https:\/\/doi.org\/10.31729\/jnma.5202","relation":{},"ISSN":["1815-672X","0028-2715"],"issn-type":[{"value":"1815-672X","type":"electronic"},{"value":"0028-2715","type":"print"}],"subject":[],"published":{"date-parts":[[2021,3,31]]}}}