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01-01-2014 | Letter to the Editor

Cesarean scar pregnancy: a diagnostic dilemma and impending catastrophe

Authors: Sandhya Jain, Amita Suneja, Rashmi Malik, Rachna Agarwal, Kiran Guleria, Neelam Vaid

Published in: Archives of Gynecology and Obstetrics | Issue 1/2014

Excerpt

We came across an interesting and rare citation of scar dehiscence in cesarean scar ectopic pregnancy (CSEP) [1]. We wish to add on our experience of a similar patient with acute presentation and diagnostic dilemma. With a low incidence of 1:2,226 of all pregnancies and 0.15 % in women with a previous CS [2], every case counts! A high index of suspicion and prompt management could save a life. …

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Seow K-M, Huang L-W, Lin YH, Yan-Sheng L-M, Tsai Y-L, Hwang J-L (2004) Caesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol 23:247–253PubMedCrossRef

Shih JC (2004) Cesarean scar pregnancy: diagnosis with three-dimensional (3D) ultrasound and 3D power Doppler. Ultrasound Obstet Gynecol 23:306–307PubMedCrossRef

Tan G, Chong YS, Biswas A (2005) Caesarean scar pregnancy: a diagnosis to consider carefully in patients with risk factors. Ann Acad Med Singap 34:216–219PubMed

Rotas MA, Haberman S, Levgur M (2006) Cesarean scar ectopic pregnancies: etiology, diagnosis and management. Obstet Gynecol 107:1373–1377PubMedCrossRef

Fylstra DL (2002) Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv 57:537–543PubMedCrossRef

Zhang Y, Duan H, Cheng JM, Guo YS (2012) Treatment options to terminate persistent cesarean scar pregnancy. Gynecol Obstet Invest 75(2):115–119

Zhang B, Jiang ZB, Huang MS, Guan SH, Zhu KS, Qian JS, Zhou B, Li MA, Shan H (2012) Uterine artery embolization combined with methotrexate in the treatment of cesarean scar pregnancy: results of a case series and review of the literature. J Vasc Interv Radiol 23(12):1582–1588PubMedCrossRef

Le A, Shan L, Xiao T, Zhuo R, Xiong H, Wang Z (2013) Transvaginal surgical treatment of cesarean scar ectopic pregnancy. Arch Gynecol Obstet 287(4):791–796PubMedCrossRef

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Ilan E, Timor-Tritsch Ana Monteagudo (2012) Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accrete and cesarean scar pregnancy. A review. Am J Obstet Gynecol 207:14–29CrossRef

Title: Cesarean scar pregnancy: a diagnostic dilemma and impending catastrophe
Authors: Sandhya Jain
Amita Suneja
Rashmi Malik
Rachna Agarwal
Kiran Guleria
Neelam Vaid
Publication date: 01-01-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 1/2014
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-013-2947-0

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Cesarean scar pregnancy: a diagnostic dilemma and impending catastrophe

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