Management of heterotopic cesarean scar pregnancy by repeated transvaginal ultrasonographic-guided aspiration with successful preservation of normal intrauterine pregnancy and complicated by arteriovenous malformation

2014 ◽  
Vol 175 ◽  
pp. 209-210 ◽  
Author(s):  
Man-Wa Lui ◽  
Noel W.M. Shek ◽  
Raymond H.W. Li ◽  
Ferdinand Chu ◽  
Ting-Chung Pun
Keyword(s):  
Arteriovenous Malformation ◽  
Intrauterine Pregnancy ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

scholarly journals Contrast-Enhanced Ultrasound Evaluation of Mifepristone for Treatment of Low-Risk Cesarean Scar Pregnancy

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Xi Xiong ◽  
Chun-yan Gao ◽  
De-mei Ying ◽  
Ping Yan ◽  
Zhi-jia Zhang ◽  
...  
Keyword(s):  
Effective Treatment ◽  
Low Risk ◽  
Contrast Enhanced Ultrasound ◽  
Intrauterine Pregnancy ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Ultrasound Evaluation ◽  
Contrast Enhanced ◽  
Significant Difference ◽  
Before And After

Purpose. The effect of mifepristone for treatment of low-risk cesarean scar pregnancy (CSP) was monitored by contrast-enhanced ultrasound (CEUS). Methods. Data were collected from 23 CSP patients with a 10-point risk score <5 (low-risk CSP) and from 23 intrauterine pregnancy (IUP) patients with a scar from a previous cesarean delivery. All patients were prescribed 75 mg mifepristone daily for 2 days and underwent transvaginal CEUS before and after administration of mifepristone. On the third day, uterine curettage was performed after transvaginal CEUS. Arrival time (AT), peak intensity (PI), and area under the curve (AUC) around the gestational sac were monitored by CEUS before and after application of mifepristone, and the rate of effective treatment was compared between the two patient groups. Results. No patients experienced side effects from either the CEUS procedure or the mifepristone treatment. Changes in AT, PI, and AUC index from before vs. after mifepristone treatment did not differ significantly between the two groups (all p values >0.05). There was also no significant difference in the rate of effective treatment between the two groups (95.65% in the CSP group vs. 100% in the IUP group; p > 0.05 ). Conclusions. Based on monitoring by CEUS, the effect of mifepristone in low-risk CSP was comparable to that in IUP.

scholarly journals Cesarean scar pregnancy combined with arteriovenous malformation successfully treated with transvaginal fertility-sparing surgery

Medicine ◽  
2020 ◽  
Vol 99 (31) ◽  
pp. e21432
Author(s):  
Xiangjuan Li ◽  
Wenchao Sun ◽  
Lingna Chen ◽  
Mei Jin ◽  
Zhifen Zhang ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing

Cesarean scar pregnancy: A rare cause of uterine arteriovenous malformation

2011 ◽  
Vol 39 (9) ◽  
pp. 534-538 ◽  
Author(s):  
Ozgur Akbayir ◽  
Ali Gedikbasi ◽  
Alpaslan Akyol ◽  
Adem Ucar ◽  
Sezin Saygi-Ozyurt ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Uterine Arteriovenous Malformation

Surgical Management of a Heterotopic Cesarean Scar Pregnancy With Preservation of an Intrauterine Pregnancy

2016 ◽  
Vol 128 (3) ◽  
pp. 613-616 ◽  
Author(s):  
Monica Hagan Vetter ◽  
Joseph Andrzejewski ◽  
Alan Murnane ◽  
Christopher Lang
Keyword(s):  
Surgical Management ◽  
Intrauterine Pregnancy ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

scholarly journals Acquired uterine arteriovenous malformation in a cesarean scar pregnancy

2013 ◽  
Vol 52 (4) ◽  
pp. 590-592 ◽  
Author(s):  
Doa Kim ◽  
Na Rae Moon ◽  
Su Rim Lee ◽  
Yu Dong Won ◽  
Hee Joung Lee ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Uterine Arteriovenous Malformation

scholarly journals Management of heterotopic cesarean scar pregnancy with preservation of intrauterine pregnancy: A case report

2021 ◽  
Vol 9 (22) ◽  
pp. 6428-6434
Author(s):  
Zheng-Yun Chen ◽  
Yong Zhou ◽  
Yue Qian ◽  
Jia-Min Luo ◽  
Xiu-Feng Huang ◽  
...  
Keyword(s):  
Case Report ◽  
Intrauterine Pregnancy ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

scholarly journals Arteriovenous Malformation Complicating Cesarean Scar Pregnancy: A Rare case of Vaginal Bleeding Managed Successfully by Uterine Artery Embolization

2021 ◽  
Author(s):  
Sangam Jha ◽  
Akanksha Singh
Keyword(s):  
Arteriovenous Malformation ◽  
Uterine Artery Embolization ◽  
Vaginal Bleeding ◽  
Uterine Artery ◽  
Color Doppler ◽  
Artery Embolization ◽  
Diagnostic Dilemma ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Future Fertility

Objective: Arteriovenous malformation (AVM) can occur in cesarean scar ectopic pregnancy. The presence of retained product of conception can pose a diagnostic dilemma and clinical presentation could be similar. Case report: A 27 year old female presented with continuous vaginal bleeding for two and half months following dilatation and evacuation (D&E) done for cesarean scar pregnancy (CSP) of 10 weeks 4days period of gestation. Sonography with color Doppler revealed dilated tortuous vessels around the mass in lower uterine segment suggesting CSP with AVM. Digital subtraction angiography confirmed the diagnosis. Bilateral uterine artery embolization achieved complete devascularisation as confirmed on post intervention angiogram. Patient became symptom free since then. Conclusion: Uterine artery embolization is an effective mode of treatment of AVM complicating CSP if future fertility is desired.

scholarly journals Selective Reduction of a Heterotopic Cesarean Scar Pregnancy Complicated by Septic Abortion

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Joan Tymon-Rosario ◽  
Meleen Chuang
Keyword(s):  
Selective Reduction ◽  
Total Abdominal Hysterectomy ◽  
Heterotopic Pregnancy ◽  
Intrauterine Pregnancy ◽  
Management Options ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Dilation And Curettage ◽  
Persistent Bacteremia ◽  
Septic Abortion

Background. Heterotopic pregnancy involving the implantation of an ectopic pregnancy into a prior cesarean scar with a concurrent intrauterine pregnancy is a rare and potentially life-threatening condition with minimal information in the literature to guide treatment and management options. Case. A 40-year-old G5P3103 at 12 weeks and 3 days with a history of two cesarean deliveries was diagnosed with a live heterotopic pregnancy containing a cesarean scar ectopic and an intrauterine pregnancy. After selective reduction of the cesarean scar gestation with potassium chloride (KCl), the patient presented ten days later to the emergency department with septic abortion and sepsis. The patient underwent bilateral uterine artery embolization followed by ultrasound guided uterine evacuation with dilation and curettage, which was complicated by intraoperative hemorrhage and persistent bacteremia. The patient had resolution of her bacteremia after total abdominal hysterectomy. Conclusion. Conservative management of uterine infection resulting from selective reduction of a heterotopic pregnancy cesarean scar pregnancy may be considered; however, severe septicemia and persistent bacteremia may necessitate definitive surgical management.

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