Objective To assess the efficacy and safety of ultrasound-guided intragestational injection of methotrexate (MTX) and systemic intramuscular MTX in the management of cesarean scar pregnancies. Methods This was a retrospective case-control study that included women diagnosed with cesarean scar pregnancy at CHA Bundang Medical Center unit between 2009 and 2015. The 26 cases were managed with lo...

OBJECTIVE To compare the rate of uterine scar disruption after a locked versus an unlocked single-layer closure of the hysterotomy incision at a previous cesarean. METHODS A retrospective cohort study in a population where both locked and unlocked single-layer closure are commonly used. All singleton pregnancies at 24 weeks' gestation or more with a previous single cesarean were included. Rat...

A 36-year-old woman (gravida 2, para 1) come to the Prenatal Diagnosis Center, Artemisia, in Rome referred by another institution for evaluating the presence of a Cesarean Scar Pregnancy (CSP). Woman came at our institution with no symptoms. She had a caesarean section a term of gestation 3 years prior. She was at 9 weeks gestation calculated from the first day of the last menstrual period. Phy...

This article details diagnostic imaging and histopathological findings from two women with Cesarean scar syndrome (CSS) who underwent hysterectomy. Patient one, a 44-year-old woman, was examined with transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI). Characteristic histological findings included a defect of the muscle layer of her Cesarean scar. Patient two, a 39-year-old woma...

BACKGROUND AND OBJECTIVES During the past few decades, there has been a significant increase in the number of cesarean deliveries, and thus an increase in the number of complications. A common complication of multiple cesarean deliveries is symptomatic uterine scar dehiscence, for which there are no treatment guidelines available. We report a case of uterine scar dehiscence-the repair of it by ...

Dangerous placenta previa refers to somebody has a history of cesarean section while this pregnancy was placenta previa with the placenta attached to the original scar. The placenta can be adhered to the surface of the uterus, invasion into myometrium or completely penetrate the muscle and tissues in these placenta previa patients. It happens in these persons like older maternal ages (over 35 y...

Dr. Arun Nayak, MBBS, MD Obstetrics & Gynaecology, DGO, FICOG is Professor & Head of Unit in Department of Obstetrics & Gynecology at Lokmanya Tilak Municipal General Hospital, Mumbai, India; Dr. Meenal Sarmalkar, MBBS, MD Obstetrics & Gynaecology, DGO is Additional Associate Professor in Department of Obstetrics & Gynecology, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, Maharashtra...

OBJECTIVE To evaluate the clinical effectiveness of laparoscopic management of cesarean scar pregnancy (CSP) by deep implantation. BACKGROUND A pregnancy implanting within the scar from a previous cesarean delivery is a rare condition of ectopic pregnancy. There are two different types of CSPs. Type I is caused by implantation of the amniotic sac on the scar with progression toward either the...

Primary choriocarcinoma of the uterine cervix is an extremely rare disease. The clinical diagnosis of cervical choriocarcinoma is difficult, because of its rarity and being non-specific abnormal vaginal bleeding the most common symptom. In the present report, the authors present a case of cervical choriocarcinoma, which was initially misdiagnosed as a cesarean section scar ectopic pregnancy. Re...