Ectopic pregnancies in Caesarean section scars: the 8 year experience of one medical centre

Maymon, Ron; Halperin, Reuvit; Mendlovic, Sonia; Schneider, David; Vaknin, Zvi; Herman, Arie; Pansky, Moty

doi:10.1093/humrep/deh060

Cited by 196 publications

(242 citation statements)

References 20 publications

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“…2 Although a series of 18 and eight CSP cases were reported by Jurkovic et al and Maymon et al, respectively, the majority of data on CSP are found in individual case reports or small case series. 4,11 To the best of the authors' knowledge, this is the first case series to exclusively present suction evacuation and methotrexate as a treatment modality; this will hopefully aid in the acceptance of this approach as an effective treatment option for CSP.…”

Section: Discussionmentioning

confidence: 87%

“…7 Maymon et al recommended a dual approach, combining transvaginal and transabdominal scans of the patient with a full bladder; the latter provides a 'panoramic' view of the uterus and an accurate measurement of the distance between the gestational sac and the bladder. 11 This technique was used to diagnose CSP in one patient in the current case series, as the patient's uterus was pulled up due to her four previous Caesarean surgeries. Another diagnostic method proposed by Jurkovic et al is the negative sliding organ sign, defined as the inability to displace the gestational sac from its position at the level of the internal cervical opening using gentle pressure applied with a transabdominal probe.…”

Section: Lscs = Lower Segment Caesarean Section; β-Hcg = β-Human Chormentioning

confidence: 99%

“…A laparotomy has the advantage of completely removing the CSP mass and repairing the scar at the same time, followed by the normalisation of β-hCG levels within 1-2 weeks. 1,11 Long-term complications following treatment of a CSP include fertility issues and recurrence. A follow-up study of 29 women who were successfully treated for CSP reported favourable reproductive outcomes and a low recurrence rate.…”

Section: Lscs = Lower Segment Caesarean Section; β-Hcg = β-Human Chormentioning

confidence: 99%

See 2 more Smart Citations

Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies: Case series

Datta

Jha

2015

SQUMJ

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Section: Discussionmentioning

confidence: 87%

Section: Lscs = Lower Segment Caesarean Section; β-Hcg = β-Human Chormentioning

confidence: 99%

Section: Lscs = Lower Segment Caesarean Section; β-Hcg = β-Human Chormentioning

confidence: 99%

See 1 more Smart Citation

Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies: Case series

Datta

Jha

2015

SQUMJ

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“…Nonetheless, a cesarean scar pregnancy is thought to be considerably more forceful than placenta previa or accreta in light of the fact that it attacks the myometrium in the primary trimester. Patients who have experienced different cesarean segments give off an impression of being at expanded hazard for in-scar implantation of the ensuing pregnancy on account of expanded scar surface zone [4,8,9]. With the coming of transvaginal sonography and with the utilization of saline imbuement, it is conceivable to survey postcaesarean area uterine divider respectability even in the nonpregnant state [4,[10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Case Report on Labor and Delivery While Placenta Presence in Caesarian

John¹

2017

Med Rep Case Stud

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Among the 65,000 live births in the Ukraine, 3 result in maternal demise. Some of these passings happen taking after difficulties related with placenta previa, which is show in roughly 1 in 200 pregnancies. Placenta previa happen when the placenta is situated in the lower some portion of the uterus, near or including the cervical opening. Commonly connected with or suspected in the nearness of placenta previa is the turmoil of placenta accreta, which is a type of unusual placentation and happens when the placenta imbeds defectively into the mass of the myometrium. The event rate of placenta accreta is around 1 in each 2,500 pregnancies. Placenta previa and placenta accreta are related with expanded maternal discharge and coming about expanded maternal mortality and morbidity. When the rate of cesarean conveyance expands, a relating increment in the event rate of placenta previa and placenta accreta has been watched. The rate of cesarean conveyance in the joined States is 31.1% and is at a record-breaking high. The expanded rate of cesarean conveyance is multifactorial. The number of essential cesarean conveyances being performed has expanded. In the interim, the quantity of vaginal births after cesarean conveyance has diminished. This diminished number has added to an expanded rate of rehashed cesarean conveyance. The reason for this case report is to survey the administration of a patient conceded for elective cesarean conveyance with known placenta previa and suspected placenta accreta. The case report will be trailed by a general talk identified with the administration of obstetric patients with placenta previa and placenta.

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“…Doppler imaging in recent years 16,17 . Cesarean scar pregnancy is diagnosed on patients having amenorrhea and a history of prior caesarean section.…”

mentioning

confidence: 99%

Caesarean Scar Pregnancy - A Rare Case Report

Sultana¹,

Islam

Nurjahan³

2016

Bangladesh J Obstet Gynaecol

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Objective:The aim is to publish the case report of the rarely occurring and life threatening ectopic pregnancy developing in a Caesarean section scar causing uterine rupture.Methods and Results: This patient was diagnosed initially as a case of incomplete abortion. Other possible diagnoses were molar pregnancy, mass in the cervix. She was admitted in hospital for evacuation and curettage. During the procedure she developed severe pervaginal bleeding leading to hypovolumic shock. So decision was taken for emergency laparotomy. After opening the abdomen rupture was found in the lower uterine segment extending upto upper part of cervix. So hysterectomy was performed and histopathology confirmed the diagnosis of ectopic pregnancy that developed in a Caesarean section scar Analysis of the womens obstetric history revealed that she had been previously operated because of breech presentation.Conclusion: Heightened awareness of the possibility of pregnancy in caesarean scar and early diagnosis by means of transvaginal sonography along with colour doppler can improve outcome and minimize the need for emergency extended surgeryBangladesh J Obstet Gynaecol, 2012; Vol. 27(2) : 83-86

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Ectopic pregnancies in Caesarean section scars: the 8 year experience of one medical centre

Cited by 196 publications

References 20 publications

Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies: Case series

Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies: Case series

Case Report on Labor and Delivery While Placenta Presence in Caesarian

Caesarean Scar Pregnancy - A Rare Case Report

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