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First-trimester diagnosis of cesarean scar ectopic pregnancy

✍ 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

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✦ 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 first‐trimester 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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