Importance of Early Detection of Cesarean Scar Ectopic Pregnancy

Jungkman, Olesya; Anderson, Julie

doi:10.1177/8756479315597707

Cited by 2 publications

(1 citation statement)

References 9 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some of the papers 6,14,[22][23][24][25][26][27] were used for multiple questions. In total, 15 articles 6,14,22,[26][27][28][29][30][31][32][33][34][35][36][37] described various criteria for the diagnosis of a CSP. Six 6,11,12,26,27,38 articles introduced a classification according to multiple CSP types or grades.…”

Section: Literature Searchmentioning

confidence: 99%

Definition and sonographic reporting system for Cesarean scar pregnancy in early gestation: modified Delphi method

Jordans

Verberkt

Leeuw

et al. 2022

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

Objective To develop a standardized sonographic evaluation and reporting system for Cesarean scar pregnancy (CSP) in the first trimester, for use by both general gynecology and expert clinics. Methods A modified Delphi procedure was carried out, in which 28 international experts in obstetric and gynecological ultrasonography were invited to participate. Extensive experience in the use of ultrasound to evaluate Cesarean section (CS) scars in early pregnancy and/or publications concerning CSP or niche evaluation was required to participate. Relevant items for the detection and evaluation of CSP were determined based on the results of a literature search. Consensus was predefined as a level of agreement of at least 70% for each item, and a minimum of three Delphi rounds were planned (two online questionnaires and one group meeting). Results Sixteen experts participated in the Delphi study and four Delphi rounds were performed. In total, 58 items were determined to be relevant. We differentiated between basic measurements to be performed in general practice and advanced measurements for expert centers or for research purposes. The panel also formulated advice on indications for referral to an expert clinic. Consensus was reached for all 58 items on the definition, terminology, relevant items for evaluation and reporting of CSP. It was recommended that the first CS scar evaluation to determine the location of the pregnancy should be performed at 6–7 weeks' gestation using transvaginal ultrasound. The use of magnetic resonance imaging was not considered to add value in the diagnosis of CSP. A CSP was defined as a pregnancy with implantation in, or in close contact with, the niche. The experts agreed that a CSP can occur only when a niche is present and not in relation to a healed CS scar. Relevant sonographic items to record included gestational sac (GS) size, vascularity, location in relation to the uterine vessels, thickness of the residual myometrium and location of the pregnancy in relation to the uterine cavity and serosa. According to its location, a CSP can be classified as: (1) CSP in which the largest part of the GS protrudes towards the uterine cavity; (2) CSP in which the largest part of the GS is embedded in the myometrium but does not cross the serosal contour; and (3) CSP in which the GS is partially located beyond the outer contour of the cervix or uterus. The type of CSP may change with advancing gestation. Future studies are needed to validate this reporting system and the value of the different CSP types. Conclusion Consensus was achieved among experts regarding the sonographic evaluation and reporting of CSP in the first trimester. © 2021 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.

show abstract

Section: Literature Searchmentioning

confidence: 99%

Definition and sonographic reporting system for Cesarean scar pregnancy in early gestation: modified Delphi method

Jordans

Verberkt

Leeuw

et al. 2022

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

show abstract

Scar Ectopic Pregnancy as an Uncommon Site of Ectopic Pregnancy: A Case Report and Literature Review

Elawad,

Alyousef,

Alkhaldi

et al. 2023

Life

View full text Add to dashboard Cite

A cesarean scar pregnancy is a rare type of ectopic pregnancy that occurs when a fertilized egg implants in the scar from a previous cesarean section. It is a serious condition that can lead to significant morbidity and mortality if not managed promptly and appropriately. In this literature review and case report, we discuss the etiology, diagnosis, and management of cesarean scar pregnancy. We conducted a comprehensive search of relevant literature using electronic databases and included studies that reported on the diagnosis and management of cesarean scar pregnancy. We also present a case report of a patient with cesarean scar pregnancy who was managed surgically. The diagnosis of cesarean scar pregnancy is primarily done via transvaginal or transabdominal ultrasound, and medical or surgical management can be used depending on the gestational age, hemodynamic status, and patient preferences. The surgical approach, which involves hysteroscopy, laparoscopy, or laparotomy, is usually preferred, since it is associated with fast recovery and lower recurrence rates. However, it is crucial to consider the patient’s plans for future fertility when selecting the management approach. In conclusion, cesarean scar pregnancy is a rare but potentially life-threatening condition that requires prompt and appropriate management. Early diagnosis and treatment can prevent significant morbidity and mortality, and surgical management is usually preferred due to its higher success rates and lower recurrence rates.

show abstract

Importance of Early Detection of Cesarean Scar Ectopic Pregnancy

Cited by 2 publications

References 9 publications

Definition and sonographic reporting system for Cesarean scar pregnancy in early gestation: modified Delphi method

Definition and sonographic reporting system for Cesarean scar pregnancy in early gestation: modified Delphi method

Scar Ectopic Pregnancy as an Uncommon Site of Ectopic Pregnancy: A Case Report and Literature Review

Contact Info

Product

Resources

About