scholarly journals Cesarean Section Scar Ectopic Pregnancy in the Second Trimester: An Underrecognized Complication of Cesarean Deliveries

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Sharonne Holtzman ◽  
Mary Louise Kiernan ◽  
Jaimie Huntly ◽  
Valentin Kolev ◽  
Konstatin Zakashansky
Keyword(s):  
Literature Review ◽  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Case Series ◽  
Laparoscopic Hysterectomy ◽  
Second Trimester ◽  
Placenta Increta ◽  
Management Guidelines ◽  
Cesarean Deliveries ◽  
Current Guidelines

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.

scholarly journals Placenta Increta Complicating Persistent Cesarean Scar Ectopic Pregnancy following Failed Excision with Subsequent Preterm Cesarean Hysterectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
M. F. Malik ◽  
L. R. Hoyos ◽  
J. Rodriguez-Kovacs ◽  
J. Gillum ◽  
S. C. Johnson
Keyword(s):  
Ectopic Pregnancy ◽  
Placenta Increta ◽  
Pelvic Mri ◽  
Chorionic Villi ◽  
Thin Endometrium ◽  
Cesarean Scar ◽  
Cesarean Hysterectomy ◽  
Cesarean Deliveries ◽  
History Of ◽  
Gestational Sac

Introduction.Cesarean scar pregnancies (CSPs) are one of the rarest forms of ectopic pregnancy. Given their rarity, there is lack of consensus regarding the management and natural course of CSPs.Case.A 37-year-old G10 P3063 female with a history of two prior cesarean deliveries was diagnosed with her second CSP at 6 weeks and 5 days in her tenth pregnancy. The patient underwent vertical hysterotomy, excision of a gestational sac implanted in the cesarean sac, and bilateral salpingectomy via a laparotomy incision. The histopathology report confirmed immature chorionic villi. The patient returned 10 weeks later and was found to be still pregnant. Obstetric ultrasound confirmed a viable fetus of 19 weeks and 4 days of gestational age with a thin endometrium and an anteroposterior and right lateral placenta with multiple placental lakes. The patient ruptured her membranes at 31 weeks of gestation and pelvic MRI revealed an anterior placenta invading the myometrium and extending to the external serosal surface consistent with placenta increta. Following obstetric interventions, a live female infant was delivered by cesarean hysterectomy (because of placenta increta) at 32 weeks of gestation.Conclusion.Development of standardized guidelines for management of CSPs, as well as heightened vigilance for possible complications, is required for proper care and avoidance of potential morbidity and mortality.

scholarly journals Cesarean section scar ectopic pregnancy: a clinical case series

2015 ◽  
Vol 18 (2) ◽  
pp. 191-195 ◽  
Author(s):  
Matthew Rheinboldt ◽  
Dan Osborn ◽  
Zach Delproposto
Keyword(s):  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Clinical Case ◽  
Case Series

scholarly journals Maternal Mortality in Eclampsia after Cesarean Section versus Vaginal Delivery

2018 ◽  
Vol 23 (4) ◽  
pp. 430-434
Author(s):  
Ghazala Saeed ◽  
Rabia Wajid ◽  
Ayesha Yousaf Dar
Keyword(s):  
Cesarean Section ◽  
Maternal Mortality ◽  
Vaginal Delivery ◽  
Case Series ◽  
Cesarean Deliveries ◽  
Vaginal Deliveries ◽  
Fetal Complications ◽  
Section Versus ◽  
The Mean ◽  
Clonic Convulsions

Preeclampsia with generalized tonic-clonic convulsions is termed as eclampsia. Eclampsia isassociated with multiple maternal and fetal complications.  Eclampsiais an obstetric emergency and quick decision making is required to save lives. The objective of the study was to compare the maternal mortalityafter cesarean section versus vaginal delivery among eclampsiapatients. It is a descriptive case series conducted in Department of Obstetrics and Gynecology, Lady Willingdon Hospital, from December 2014 to June 2015. In our study, 62.86 % (n=88) patients were between18-25 years of age and 37.14 % (n=52) werebetween 26-35 years of age. The mean+SD was calculated as 25.12+4.53 years. Frequency ofvaginal delivery in patients with eclampsia was 30.71 % (n=43) while69.29 % (n=97) were delivered through cesarean section. Comparisonof maternal mortality in two groups was recorded, where out of 43 spontaneous vaginal deliveries mortality was recorded in 6.98 % (n=3). Out of 97 cesarean deliveries, mortality was recorded in 17.53% (n=17). We concluded that mortality rates are higher in patients undergoing cesarean section.

scholarly journals Peptic ulcer perforation after cesarean section; case series and literature review

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mahboobeh Shirazi ◽  
Mehnoosh Tork Zaban ◽  
Sriharsha Gummadi ◽  
Marjan Ghaemi
Keyword(s):  
Peptic Ulcer ◽  
Literature Review ◽  
Cesarean Section ◽  
Case Series ◽  
Peptic Ulcer Perforation ◽  
Ulcer Perforation
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