## Abstract Cesarean scar pregnancy is rare. However, there has been a rapid increase in the reporting of such cases in recent years. Most of the cases reported in the literature were diagnosed early in the first trimester. Possible management options proposed are pertinent to an early diagnosis. W
First-trimester diagnosis of cesarean scar ectopic pregnancy
β Scribed by Elysia Moschos; Sreedevi Sreenarasimhaiah; Diane M. Twickler
- Publisher
- John Wiley and Sons
- Year
- 2008
- Tongue
- English
- Weight
- 470 KB
- Volume
- 36
- Category
- Article
- ISSN
- 0091-2751
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
Once considered extremely rare, implantation of a pregnancy within the scar of a previous cesarean section is becoming more common. In fact, its incidence is now higher than that of cervical ectopic pregnancies. We identified 5 cases of ectopic pregnancy implanted in a prior cesarean section scar at our institution since 2004. We outline the criteria for the firstβtrimester sonographic diagnosis of cesarean scar ectopic pregnancy, including a new sign of lower uterine segment ballooning, which has previously not been reported. Clinicians must have a heightened awareness of this serious and potentially fatal pregnancy complication. Β© 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008.
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Purpose. We evaluated a recent report that suggested that a ''3-layer'' appearance of the endometrium on sonography is diagnostic of ectopic pregnancy in symptomatic pregnant patients. Methods. We reviewed the log of pelvic sonograms performed to rule out ectopic pregnancy in women presenting with
## Abstract We report a case of an ectopic pregnancy implanted in the myometrium at the site of a scar from a previous cesarean section that presented with vaginal bleeding and was successfully treated with bilateral uterine artery embolization and intramuscular administration of methotrexate. The
## Abstract In a survey of 235 consecutive cases of ectopic pregnancy it was found that over 50 per cent were incorrectly diagnosed by the general practitioner and 36 per cent by a hospital doctor. Ten per cent of patients were sent home before the diagnosis was made. Over 30 per cent of patients
Intramural ectopic pregnancy is a very rare diagnosis. Establishing a diagnosis is difficult and is often made intraoperatively. Demonstration of a live extrauterine gestation is the only specific sign of such a pregnancy. A small number of ectopic pregnancies are interstitial or cornual pregnancies