Case Report

Successful Term Pregnancy After Cesarean Scar Molar Pregnancy

Challenges in Diagnosis and Management of Rare Cesarean Scar Pregnancies

Abstract

Background: Cesarean scar molar pregnancy (CSMP) is an exceptionally rare clinical entity, combining two
uncommon obstetric conditions: cesarean scar pregnancy and molar gestation. The diagnosis is often delayed due to nonspecific symptoms and misinterpretation of imaging findings, and there is limited data regarding fertility outcomes following such cases
Case Presentation: We report the case of a 32-year-old woman, gravida 2 para 1, who presented with vaginal bleeding and a diagnosis of missed abortion at 12 weeks gestation. Despite medical management with misoprostol, she experienced severe hemorrhage requiring surgical intervention. Intraoperative findings revealed thinning of the previous cesarean section scar and abnormal tissue suspicious for ectopic gestation. Pathologic examination confirmed a partial molar pregnancy implanted at the cesarean scar site. Following surgical repair and appropriate follow-up, including serial β-hCG monitoring until undetectable levels were reached, the patient conceived spontaneously two years later. The subsequent pregnancy progressed uneventfully to term and was delivered via cesarean section.
Conclusions: This case highlights the importance of considering CSMP in the differential diagnosis of atypical
pregnancies in patients with a history of cesarean section, especially when imaging shows abnormal sac location or persistent bleeding. Early diagnosis and prompt management are crucial for patient safety and preserving fertility. To our knowledge, this is one of the rare reports of a successful term pregnancy following CSMP

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IssueVol 8 No 1 (2025) QRcode
SectionCase Report(s)
Keywords
Cesarean scar pregnancy Ectopic pregnancy Molar pregnancy pregnancy outcome complicated pregnancy
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1.
Moghimi Z, Sobhanian E, Shirazi M, Sadeghian E, Sabzevary M. Successful Term Pregnancy After Cesarean Scar Molar Pregnancy. AJS. 2025;8(1):18-21.