The three dimensional ultrasound improved visualisation of the
caesarean scar pregnancy as it conveys a spatial, three dimensional
impressions of the ectopic pregnancy and its relation with surrounding
structures.
While three dimensional ultrasound cannot replace conventional
sonography, it can complement it in selected cases. Literature is
still not conclusive as regards dilatation and curettage for treatment
of caesarean scar pregnancy, one of our cases was complicated by
bleeding and two cases were treated successfully with dilatation and
curettage without any complication. We think dilatation and curettage
an effective measure for termination of pregnancy but precautions
must be taken for eventual hemorrhage. All scar pregnancies should be
reported so that more data may be obtained to quantify the indications,
contra-indications, the safety and efficacy of the various management
modalities.