55: Robot-assisted multiport hysterotomy with resection of cesarean scar ectopic pregnancy involving the cervix and metroplasty

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Ectopic Pregnancy in Cesarean Section Scar

Pregnancy implantation within the scar of a previous cesarean delivery is one of the rarest locations for an ectopic pregnancy. Early diagnosis of this condition with the use of ultrasound imaging allows for preserving the uterus and subsequent fertility. However, a delay in either diagnosis or treatment can lead to uterine rupture, hysterectomy and significant maternal morbidity. With increasi...

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MRI in Cesarean Scar Ectopic Pregnancy

Ectopic pregnancy overall is the leading cause of death in the first trimester [1]. The incidence of pregnancy implantation in unusual sites, like cesarean scar is rising due to increased incidence of cesarean sections, pelvic inflammatory disease and dilatation and curettage [2]. Up to 72% of cesarean scar pregnancies occur in women who have had 2 or more cesarean deliveries [3-5]. The dehisce...

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Ectopic pregnancy in a cesarean section scar.

A combination of systemic chemotherapy, feticide with intrachest and intra-abdominal injection with methotrexate, and hysteroscopy with dilation and curettage to remove the gestational tissue was successful in the treatment of a cesarean scar ectopic pregnancy. This case presents images of the ultrasound, magnetic resonance imaging, and pathologic features unique to a cesarean scar pregnancy.

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Recurrent Cesarean Scar Ectopic Pregnancy Treated with Systemic Methotrexate

Cesarean scar pregnancy (CSP) is a rare event; however its incidence has been rising due to the increasing rates of cesarean deliveries. The majority of cases present with signs or symptoms requiring surgery, which often results in hysterectomy. The recurrence of CSP is even rarer with only few cases which have been reported. This is a report of recurrent cesarean scar ectopic pregnancy (RCSP) ...

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Cesarean Scar Pregnancy Managed with Conservative Treatment

Cesarean scar pregnancy (CSP) is a rare, but life-threatening type of ectopic pregnancy. An exact and early diagnosis of CSP is very important for prognosis. The aim of the present study was to describe 4 women with CSP and discuss their clinical presentations, diagnoses, and various management options along with the published literature. Four women with a suspicion of CSP or cervical pregnancy...

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ژورنال

عنوان ژورنال: American Journal of Obstetrics and Gynecology

سال: 2019

ISSN: 0002-9378

DOI: 10.1016/j.ajog.2019.01.191