Abstract
BACKGROUND: The incidence of cesarean scar pregnancy (CSP) is rising due to the increasing numbers of cesarean deliveries in the United States. However, little is known with respect to epidemiology, best screening methodologies, and treatment options. CASES: Three patients in their first trimester of pregnancy presented with a history of cesarean delivery and were diagnosed by pelvic ultrasound as having CSP. Methods of treatment included definitive surgery with hysterectomy or conservative management with methotrexate and lidocaine injection into the gestational sac. CONCLUSION: In patients with prior cesarean delivery, careful attention to all possible ultrasound signs of CSP during routine first trimester ultrasound is important for an early diagnosis, which can allow for various treatment options.
Original language | English (US) |
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Pages (from-to) | 517-521 |
Number of pages | 5 |
Journal | Journal of Reproductive Medicine |
Volume | 59 |
Issue number | 5 |
State | Published - Oct 2014 |
Externally published | Yes |
Keywords
- Cesarean scar pregnancy
- Ectopic pregnancy
- Placenta accreta
- Ultrasound
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology