Surgical management of first‐trimester heterotopic dichorionic diamniotic Cesarean scar pregnancy

2021 ◽  
Author(s):  
E. Krispin ◽  
M. A. Belfort ◽  
A. A. Shamshirsaz
Keyword(s):  
Surgical Management ◽  
First Trimester ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

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.

scholarly journals Cesarean scar pregnancy: A case report with surgical management after initially effective conservative treatment

2019 ◽  
Vol 65 ◽  
pp. 238-241 ◽  
Author(s):  
Ioannis Tsakiridis ◽  
Ioannis Chatzikalogiannis ◽  
Apostolos Mamopoulos ◽  
Themistoklis Dagklis ◽  
Georgios Tsakmakidis ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Surgical Management ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

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

scholarly journals Fertility Preserving Surgical Management of Methotrexate-Resistant Cesarean Scar Pregnancy

2010 ◽  
Vol 49 (2) ◽  
pp. 211-213 ◽  
Author(s):  
Cem Ficicioglu ◽  
Rukset Attar ◽  
Gazi Yildirim ◽  
Nilufer Cetinkaya
Keyword(s):  
Surgical Management ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

scholarly journals Live Cesarean Scar Pregnancy: A Case Report

2020 ◽  
pp. 1-4
Author(s):  
Zohra Amin ◽  
Anu Dua ◽  
Arzoo Amin ◽  
Zohra Amin
Keyword(s):  
Surgical Management ◽  
Medical Management ◽  
Cesarean Scar Pregnancy ◽  
Initial Management ◽  
Cesarean Scar ◽  
Threatening Condition ◽  
Life Threatening ◽  
Specific Symptoms ◽  
Previous Cesarean

Introduction: The overall incidence of Cesarean scar pregnancy is increasing due to Cesarean rates. This life-threatening condition has been historically managed in various ways as no single modality is reliable enough. We report this case of live CSP managed initially with Fetocide followed by Methotrexate but requiring Surgical management later on. Presentation: A 32 years old para 5 with four previous Cesarean sections was diagnosed with live CSP. HCG level was 76,619. The initial management was fetocide with KCL followed by Methotrexate. The treatment was considered successful in view of appropriate reduction in serum HCG levels. The woman required surgical management 10 weeks after the initial management, but the blood loss was minimal. Discussion: A CSP may be asymptomatic or present with non-specific symptoms. The rate of initial misdiagnosis is as high as 76%. TVUSS enables correct CSP diagnosis and implementation of minimally invasive effective treatment. HCG levels can affect the overall outcome, but medical management can be considered even with high HCG levels. Conclusion: CSP is a life-threatening condition, therefore timely diagnosis and appropriate management is crucial. Medical management can be considered in most cases even with high HCG, but management has to be tailored according to the patient. Close follow up of patient after Medical treatment is important as they may require further intervention.

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