OP11.09: Treatment strategies of fetal heart beat (FHB)-positive Caesarean scar pregnancy (CSP)

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Management of persistent caesarean scar pregnancy after curettage treatment failure

BACKGROUND Caesarean scar pregnancy (CSP) is a late serious complication of caesarean section. The incidence of CSP has increased worldwide in recent years. Early diagnosis and prompt therapy are crucial to avoid catastrophic complications. There are various strategies for CSP treatment, but there is no consensus on the best management for CSP. Dilation and curettage (D&C) and hysteroscopy are ...

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Laparoscopic excision of caesarean scar ectopic pregnancy.

A 36-year-old female who had a emergency caesarean section 7 years ago due to fetal distress, this time presented to the clinic for the dating scan. Transvaginal ultrasound showed a gestational sac of 21 mm size with a fetal pole over the previous caesarean scar and there were no free fluid in the peritoneal cavity. Patient was clinically asymptomatic on presentation. Laparoscopic excision of c...

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A Second Trimester Caesarean Scar Pregnancy

Caesarean scar pregnancy, where conceptus is implanted on previous scar, is a rare entity. We present one such case of scar pregnancy presenting to us in the second trimester and was managed with methotrexate and uterine artery embolization, followed by hysterotomy. Uterus could be conserved and hysterectomy could be avoided.

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Ectopic pregnancy in previous Caesarean section scar.

We report two cases of Caesarean scar pregnancies that were managed surgically. The first case was a 33-year-old woman who presented at 21 weeks of gestation with lower abdominal pain. An exploratory laparotomy was performed as she was hypotensive and had a drastic drop in haemoglobin level. Intraoperatively, a ruptured scar ectopic pregnancy with placenta percreta was found. A hysterectomy was...

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Caesarean scar pregnancy at 19 weeks gestation

Due to the increased numbers of caesarean sections in the last decade, women with a caesarean section scar in pregnancy are becoming more commonly diagnosed using ultrasound. One of the rare but more severe complications of this is an implantation of the pregnancy in the caesarean section scar.

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ژورنال

عنوان ژورنال: Ultrasound in Obstetrics & Gynecology

سال: 2017

ISSN: 0960-7692

DOI: 10.1002/uog.17797