Case Report

Cesarean Scar Pregnancy and Placenta Percreta: A Case Series from Armenia

Authors: Norayr Nver Ghukasyan, Andranik Poghos Poghosyan, Georgy Grigory Okoev.

DOI: 10.33425/2689-1093.1089

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Abstract

Background: Cesarean scar pregnancy and Placenta Accreta Spectrum (PAS) are life-threatening complications increasingly seen due to rising cesarean rates.

Case Presentation: We present three cases: (1) early cesarean scar pregnancy managed conservatively with methotrexate and aspiration; (2) antenatal diagnosed placenta percreta requiring cesarean hysterectomy; and (3) uterine rupture with hemorrhage due to undiagnosed placenta percreta.

Outcome: All patients survived. Two underwent hysterectomy due to hemorrhage; one retained fertility after conservative treatment.

Conclusion: Early diagnosis, individualized care, and a multidisciplinary approach are essential for optimal outcomes in PAS and cesarean scar pregnancies.

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