Acquired uterine arteriovenous malformation in a cesarean scar pregnancy

Kim, Doa; Moon, Na Rae; Lee, Su Rim; Won, Yoo Dong; Lee, Hee Joung; Park, Tai Chul; Kim, Yeon Hee

doi:10.1016/j.tjog.2013.10.026

Cited by 20 publications

(23 citation statements)

References 12 publications

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“…Another way in which ultrasound may be beneficial is in the diagnosis of sequelae related to the CSP, such as the development of arteriovenous malformations, 52 persistent gestational sac 53 and gestational trophoblastic disease, 54 as well as post operative complications such as hematoma formation 6 . Ultrasound has also been found to be valuable in the follow up of patients treated for CSP, to ensure the success of treatment and subsequent resolution of the gestational sac 55 .…”

Section: Treatmentmentioning

confidence: 99%

Catastrophic consequences of a caesarean scar pregnancy missed on ultrasound

Collins¹,

Kothari

2015

Australas J Ultrason Med

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Ectopic pregnancy that implants within the scar tissue of a previous caesarean scar is a situation that is seldom encountered and is almost invariably incompatible with a successful pregnancy. Caesarean scar ectopic pregnancies are fraught with life threatening complications such as scar rupture, significant haemorrhage, disseminated intravascular coagulation and the need for emergency life saving hysterectomy. The clinical diagnosis can be elusive, particularly in the early stages; therefore clinicians should be familiar with the condition's sonographic hallmarks. Early diagnosis and management is the key to preventing these complications. We describe a case of caesarean scar pregnancy which was initially misdiagnosed as “a spontaneous miscarriage in progress”, resulting in uncontrollable bleeding, necessitating an emergency abdominal hysterectomy. We also endeavour to review the literature with regards to the use of ultrasound in its management, treatment and follow up.

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Section: Treatmentmentioning

confidence: 99%

Catastrophic consequences of a caesarean scar pregnancy missed on ultrasound

Collins¹,

Kothari

2015

Australas J Ultrason Med

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“…Severe abdominal pain and heavy vaginal bleeding can herald impending uterine rupture. 20,21 Early diagnosis enables clinicians to use conservative treatment methods, allowing for preservation of the uterus and future fertility, as well as reducing the risk of maternal morbidity and mortality. 22 The mechanism of development of CSP is not well understood.…”

Section: Scar Pregnancymentioning

confidence: 99%

“…14 and 15). 2,13,20 Pelvic adhesions due to CD can lead to increased operative time and difficulty in delivery of the infant. They also can lead to operative complications, including bladder, ureter, and bowel injury.…”

Section: Other Complicationsmentioning

confidence: 99%

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Imaging Evaluation of Maternal Complications Associated with Repeat Cesarean Deliveries

Moshiri

Osman

Bhargava

et al. 2014

Radiologic Clinics of North America

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“…Arteriovenous malformations may have different locations; very rarely, they can be identified in the uterus, with fewer than 100 such cases described in the literature. An AVM can be congenital or the consequence of a uterine trauma, such as in cases of an early abortion, an intrauterine device, surgery, gestational trophoblastic disease, and oncologic disease …”

mentioning

confidence: 99%