Management of Cesarean Scar Pregnancy Using Ultrasound-Guided Dilation and Curettage

2016 ◽  
Vol 23 (5) ◽  
pp. 707-711 ◽  
Author(s):  
Suqing Liu ◽  
Jing Sun ◽  
Bin Cai ◽  
Xiaowei Xi ◽  
Liu Yang ◽  
...  
Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 411
Author(s):  
Felice Sorrentino ◽  
Vincenzo De Feo ◽  
Guglielmo Stabile ◽  
Raffaele Tinelli ◽  
Maurizio Nicola D’Alterio ◽  
...  

Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy which represents a consequence of a previous cesarean section. It is associated with major maternal morbidity and mortality and has potential implications on future fertility. Because of possible serious complications, CSP should be swiftly diagnosed and treated. There is no management protocol for this rare, life-threatening condition, and each patient should be evaluated individually. Several types of conservative treatment have been used to treat cesarean scar pregnancy: dilation and curettage (D&C), excision of trophoblastic tissues, local or systemic administration of methotrexate, bilateral hypogastric artery ligation, and selective uterine artery embolization with curettage and/or methotrexate administration. In our study we present a cesarean scar pregnancy of a 40-year-old woman who was treated with angiographic uterine artery embolization (UAE) followed by hysteroscopic diode laser resection. Our combined UAE–hysteroscopic laser surgery appears to offer an effective, safe, and minimally invasive surgical treatment.


2020 ◽  
Vol 302 (2) ◽  
pp. 439-445 ◽  
Author(s):  
Kai-Liang Tan ◽  
Li Jiang ◽  
Yu-Mei Chen ◽  
Ying Meng ◽  
Bang-Quan Lv ◽  
...  

2018 ◽  
Vol 2 (3) ◽  
pp. 312-315
Author(s):  
Krishna Mahato ◽  
Yu Bin

Cesarean scar pregnancy is the implantation of an embryo within the mymometrium of prior cesarean scar which is a rare variant of ectopic pregnancy. Such implantation is life threatening leading to uterine rupture, extensive hemorrhage and serious maternal morbidity. Making an early diagnosis minimizes risk of such major hemorrhage thus preserving the uterus and further fertility. In this case report we discuss two different management options: ultrasound guided intragestational methotrexate injection with sac aspiration; and transvaginal hysterotomy considering the severity of presenting symptoms. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 312-315


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