Cesarean scar pregnancy is associated with abnormal implantation but not macroscopic myometrial invasion in early first trimester of pregnancy

2021 ◽  
Author(s):  
F. D'Antonio ◽  
G. Cali ◽  
J. Palacios‐Jaraquemada ◽  
A. Khalil ◽  
I. E. Timor‐Tritsch
Keyword(s):  
Myometrial Invasion ◽  
First Trimester ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
First Trimester Of Pregnancy

Evaluation of plasma free amino acid and carnitine levels in patients with cesarean scar pregnancy

2020 ◽  
Vol 23 ◽  
Author(s):  
Omer Tammo ◽  
Hacer Uyanikoglu ◽  
İsmail Koyuncu
Keyword(s):  
Amino Acid ◽  
Pregnant Women ◽  
Free Amino Acid ◽  
Free Amino ◽  
Plasma Concentrations ◽  
Myometrial Invasion ◽  
Controlled Study ◽  
Control Group ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

Aim and Objective: This study aimed to explore the plasma free amino acid (FAA) and carnitine levels in pregnant women with cesarean scar pregnancy (CSP), and to compare them with those of healthy pregnant women. Materials and Methods: This prospective and randomized controlled study was conducted in patients admitted to Harran University Medical Faculty Hospital Obstetrics Clinic between January 2018 and January 2019. A total of 60 patients were included in the study, and the patients were divided into two groups: CSP group (n = 30) and healthy pregnant group as the control group (n = 30). The blood samples were taken from the participants between 7 - 12 weeks of gestation. Twentyseven carnitines and their esters and 14 FAAs were analysed by liquid chromatography – mass spectrometry (LC-MS/MS). Results: The mean plasma concentrations of some carnitines, including C2, C5, C5-OH, C5-DC, C6, C8-1, C12, C14, C14- 1, C14-2, C16, C16-1, C18, and C18-1 were significantly higher in CSP group than in the control group. However, other carnitines, including C0, C3, C4, C4-DC, C5-1, C6-DC, C8, C8-DC, C10, C10-1, C18-1-OH, and C18-2 were similar in both groups. The plasma levels of some FAAs, including Methyl Glutaryl, Leu, Met, Phe, Arg, Orn, and Glu values were significantly higher in CSP group than in the control group. However, there was no statistically significance in other FAA levels, including Val, Asa, Tyr, Asp, Ala, Cit, and Gly between the two groups. Additionally, Pearson’s correlation analysis showed that there were significantly positive correlations between many FAA and carnitine values. Conclusion: Since several plasma carnitine and FAA levels were higher in CSP group than in the control group, we think that scar pregnancy increases metabolic need for myometrial invasion. Also, we think that these results may be useful in clinical practice for CSP diagnosis.

scholarly journals Ruptured Cesarean Scar Pregnancy: A Case Report

2019 ◽  
Vol 57 (217) ◽  
Author(s):  
Prishita Shah ◽  
Rosina Manandhar ◽  
Meena Thapa ◽  
Rachana Saha
Keyword(s):  
Case Report ◽  
Uterine Rupture ◽  
First Trimester ◽  
Emergency Laparotomy ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Maternal Morbidity And Mortality ◽  
Subsequent Loss ◽  
Ectopic Pregnancies ◽  
Previous Cesarean

Cesarean scar pregnancy is a rare variant of ectopic pregnancy where the fertilized ovum gets implanted in the myometrium of the previous cesarean scar. The incidence of CSP among ectopic pregnancies is 6.1% and it is seen in approximately 1 in 2000 normal pregnancies.As trophoblastic invasion of the myometrium can result in uterine rupture and catastrophic hemorrhage termination of pregnancy is the treatment of choice if diagnosed in the first trimester. Expectant treatment has a poor prognosis and may lead to uterine rupture which may require hysterectomy and subsequent loss of fertility. We present a case report of a 24year old femaleG2P1L1with ruptured cesarean scar pregnancy who underwent emergency laparotomy and subsequently hysterectomy. In this case report, we aim to discuss ruptured cesarean scar pregnancy as obstetric emergency and methods by which we can make an early diagnosis that can be managed appropriately as to prevent maternal morbidity and mortality.

Outcomes of primary surgical evacuation during the first trimester in different types of implantation in women with cesarean scar pregnancy

2014 ◽  
Vol 102 (4) ◽  
pp. 1085-1090.e2 ◽  
Author(s):  
Ling-Yun Cheng ◽  
Chen-Bin Wang ◽  
Li-Ching Chu ◽  
Chih-Wen Tseng ◽  
Fu-Tsai Kung
Keyword(s):  
First Trimester ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Surgical Evacuation ◽  
Different Types

First-Trimester Cesarean Scar Pregnancy Evolving Into Placenta Previa/Accreta at Term

2005 ◽  
Vol 24 (11) ◽  
pp. 1569-1573 ◽  
Author(s):  
Jara Ben Nagi ◽  
Dede Ofili-Yebovi ◽  
Mike Marsh ◽  
Davor Jurkovic
Keyword(s):  
Placenta Previa ◽  
First Trimester ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

Spontaneous first-trimester perforation of the uterus following Cesarean scar pregnancy choriocarcinoma

2016 ◽  
Vol 47 (4) ◽  
pp. 519-521 ◽  
Author(s):  
D. M. Sherer ◽  
M. Dalloul ◽  
Y. Cho ◽  
S. R. Mylvaganam ◽  
I. Adeyemo ◽  
...  
Keyword(s):  
First Trimester ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

First‐trimester treatment of cesarean scar pregnancy using a cervical ripening—double‐balloon catheter: A case report

2020 ◽  
Vol 48 (5) ◽  
pp. 298-300
Author(s):  
Maria Donata Spazzini ◽  
Antonella Villa ◽  
Cristina Maffioletti ◽  
Federica Mariuzzo ◽  
Giuseppe Calì
Keyword(s):  
Case Report ◽  
Balloon Catheter ◽  
First Trimester ◽  
Cervical Ripening ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Double Balloon

scholarly journals Ultrasound Detection of Lacunae-like Image of a Cesarean Scar Pregnancy in the First Trimester

2013 ◽  
Vol 80 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Atsuko Sekiguchi ◽  
Naotaka Okuda ◽  
Ikuno Kawabata ◽  
Akihito Nakai ◽  
Toshiyuki Takeshita
Keyword(s):  
First Trimester ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar
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