Laparoscopic Excision of Ectopic Pregnancy in the Cesarean Section Scar Pregnancy: A Case Series

2016 ◽  
Vol 23 (7) ◽  
pp. S219 ◽  
Author(s):  
F Noll ◽  
G Salvo ◽  
JM Saadi
2015 ◽  
Vol 18 (2) ◽  
pp. 191-195 ◽  
Author(s):  
Matthew Rheinboldt ◽  
Dan Osborn ◽  
Zach Delproposto

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Sharonne Holtzman ◽  
Mary Louise Kiernan ◽  
Jaimie Huntly ◽  
Valentin Kolev ◽  
Konstatin Zakashansky

The aim of this paper is to present a case of a cesarean section ectopic pregnancy (CSP) diagnosed in the second trimester and perform a literature review of current guidelines for the management of CSP in the second trimester. This was exempt from the Mount Sinai IRB. This is a case is of a 35-year-old P1122 at 13w4d who presented to our hospital with vaginal spotting and abdominal pain. The patient was found to have a cesarean section ectopic pregnancy with placenta increta. There are no management guidelines for second trimester CSP, and the published material is minimal. A literature review was completed and demonstrated two cases and one case series published on management of existing literature on management of second trimester CSP. Our patient underwent an uncomplicated total laparoscopic hysterectomy with bilateral salpingectomy, bilateral ureterolysis, and cystoscopy. She had an uncomplicated postoperative course and was discharged on postoperative day three with an unremarkable recovery at her two-week postoperative visit.


2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Mustafa Koplay ◽  
Nasuh Utku Dogan ◽  
Mesut Sivri ◽  
Hasan Erdogan ◽  
Selen Dogan ◽  
...  

A cesarean scar ectopic pregnancy (CSEP) is a fairly uncommon presentation wherein the conceptus is implanted deep in the myometrium and at the exact scar site of the previous cesarean section. There are various CSEP management options that range from medical treatment to surgical interventions such as dilatation and curettage, laparoscopic excision, resection by laparotomy, or, sometimes, a combination of these modalities. Establishing a diagnosis of CSEP can be challenging. Given the relatively rare incidence of CSEP, its management is controversial and current standards of therapy have been derived from data obtained from a limited number of patients. Herein, we present transvaginal ultrasonography (TVUS) imaging findings and management strategies used in a case of CSEP along with the short review of current literature.


2007 ◽  
Vol 29 (4) ◽  
pp. 475-476 ◽  
Author(s):  
I. Hassan ◽  
A. Lower ◽  
C. Overton

2009 ◽  
Vol 27 (02) ◽  
pp. 111-120 ◽  
Author(s):  
Homayoun Sadeghi ◽  
Thomas Rutherford ◽  
Beth Rackow ◽  
Katherine Campbell ◽  
Christina Duzyj ◽  
...  

Author(s):  
Anna K Cardall ◽  
Janet C Jacobson ◽  
Sarah Prager ◽  
Anne N Flynn ◽  
Jennefer Russo

1997 ◽  
Vol 76 (5) ◽  
pp. 492-492 ◽  
Author(s):  
A. Rempen ◽  
Ying Ming Lai ◽  
Jing Der Lee ◽  
Chi Long Lee ◽  
Yung Kuei Soong

2021 ◽  
Vol 34 (4) ◽  
pp. 266
Author(s):  
Margarida Cal ◽  
Carla Nunes ◽  
Nuno Clode ◽  
Diogo Ayres-de-Campos

Introduction: Placenta accreta spectrum disorders are among the leading causes of maternal morbidity and mortality and their prevalence is likely to increase in the future. The risk of placenta accreta spectrum disorders is highest in cases of placenta previa overlying a previous cesarean section scar. Few studies have evaluated placenta accreta spectrum disorders in Portugal. The aim of this study was to review the cases of placenta accreta spectrum overlying a cesarean section scar managed in a Portuguese tertiary center over the last decade.Material and Methods: Retrospective, cross-sectional study, with data collected from hospital databases. Only cases with histopathological confirmation of placenta accreta spectrum were included.Results: During the study period, 15 cases of placenta accreta spectrum overlying a cesarean section scar were diagnosed (prevalence 0.6/1000). All cases were diagnosed antenatally. A transverse cesarean section was present in all cases; 13 were managed by a scheduled multidisciplinary approach, while two required emergent management. Total or subtotal hysterectomy was performed in 12 cases. There were no cases of maternal or neonatal death. Histopathological evaluation confirmed nine cases of placenta accreta, three cases of placenta increta and three cases of placenta percreta.Discussion: Early antenatal diagnosis is important for a programmed multidisciplinary management of these cases, which may reduce potential morbidity and mortality and ensure better obstetric outcomes.Conclusion: This case series of placenta accreta spectrum overlying a cesarean section scar reports the reality of a tertiary-care perinatal center in Portugal, in which no maternal or neonatal mortality due to placenta accreta spectrum was registered over the last decade; this may be attributed to prenatal diagnosis and a coordinated multidisciplinary team approach.


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