Caesarean Scar Pregnancy Presenting With Septic Shock and Multiorgan Dysfunction in a High-Risk Cardiac Patient: A Case Report

TL;DR

A rare case of caesarean scar pregnancy led to septic shock and cardiac complications, emphasizing the need for timely diagnosis and proper medical care.

Contribution

This case report highlights the dangers of undiagnosed CSP and self-administered MTP pills in high-risk cardiac patients.

Findings

Undiagnosed CSP can lead to septic shock and multiorgan dysfunction.

Self-administered MTP pills without clinical evaluation pose significant risks.

Multidisciplinary management is crucial for optimizing outcomes in high-risk CSP cases.

Abstract

Caesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy characterised by the implantation of the gestational sac at the site of a previous caesarean section scar. With the global increase in caesarean delivery rates, the incidence of CSP has been rising correspondingly. We present a case of a 28-year-old woman with an undiagnosed CSP and approximately eight weeks of amenorrhea, who presented in septic shock, further complicated by preexisting cardiac comorbidities. This case highlights the critical importance of prompt recognition, timely diagnosis, and coordinated multidisciplinary management to optimise outcomes and decrease severe maternal morbidity and mortality, and also strongly discourages self-administration of medical termination of pregnancy (MTP) pills, especially in the absence of clinical evaluation and imaging in pregnant women.

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