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Cesarean Scar Ectopic Pregnancy: Case Series

Year 2016, Özel Sayı, 4 - 5, 01.06.2016

Abstract

Cesarean scar pregnancy CSP is the implantation of a pregnancy at the site of a previous cesarean scar a rare form of ectopic pregnancy. Although rarity is becoming increasingly common in parallel with rising numbers of cesarean section deliveries.We present, in this paper, four cases of CSP diagnosed within the last 6-months period.Their clinical characteristics on admission and management are discussed, followed by a brief review of the published literature summarizing both diagnostic methods and management recommendations.

References

  • Lai YM, Lee JD, Lee CJ. Pregnancy embedded in the myometrium of a previous cesarean section. Acta Obstet Gynecol Scand 1995; 75: 573–576.
  • Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol. 2006 ;107:1373- 81.
  • Sadeghi H, Rutherford T, Rackow BW, Campbell KH, Duzyj CM, Guess MK, Kodaman PH, Norwitz ER. Cesarean scar ectopic pregnancy: case series and review of the literature. Am J Perinatol. 2010;27:111-20
  • Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL, Hwang JL. Cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol. 2004;23:247-53.
  • Phupong V, Narasethkamol A, Ultchaswadi P. Pregnancy in cesarean sec- tion scar. J Obstet Gynaecol. 2011;31:204-6.
  • Godin PA, Bassil S, Donnez J. An ectopic pregnancy developing in a previous cesarean section scar. Fertil Steril 1997; 67: 398 – 400.
  • Seow KM, Cheng WC, Chuang J, Lee C, Tsai YL, Hwang JL. Methotrexate for cesarean scar pregnancy following in vitro fertilization and embryo transfer: A case report. J Reprod Med 2000; 45: 754–757.
  • Yan CM. A report of four cases of cesarean scar pregnancy in a period of 12 months. Hong Kong Med J. 2007 ;13:141-3.
  • Cao S, Zhu L, Jin L, Gao J, Chen C. Uterine artery embolization in cesar- ean scar pregnancy: safe and effective intervention. Chin Med J (Engl). 2014;127:2322-6.
  • Nankali A, Ataee M, Shahlazadeh H, Daeichin S. Surgical management of the cesarean scar ectopic pregnancy: a case report. Case Rep Obstet Gynecol. 2013;2013:525187.
  • Litwicka K, Greco E. Cesarean scar pregnancy: a review of management options. Curr Opin Obstet Gynecol. 2013 ;25:456-61.

Sezaryen Skar Ektopik Gebelik: Olgu Serisi

Year 2016, Özel Sayı, 4 - 5, 01.06.2016

Abstract

Ektopik gebeliğin nadir bir çeşidi olan sezaryen skar gebeliği SSG , gebeliğin önceki sezaryen kesi alanına yerleşmesidir. Her ne kadar nadir görülse de insidansı, artmakta olan sezaryen doğum oranlarına paralel olarak yükselmektedir.Bu yazıda kliniğimizde altı aylık süreç içinde tanısı konulmuş 4 SSG vakasını sunuyoruz. Vakaların başvurudaki klinik özellikleri ve yönetimi tartışılmış, daha sonra literatür kısaca gözden geçirilmiş, ve tanı ve yönetimdeki öneriler kısaca özetlenmiştir.

References

  • Lai YM, Lee JD, Lee CJ. Pregnancy embedded in the myometrium of a previous cesarean section. Acta Obstet Gynecol Scand 1995; 75: 573–576.
  • Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol. 2006 ;107:1373- 81.
  • Sadeghi H, Rutherford T, Rackow BW, Campbell KH, Duzyj CM, Guess MK, Kodaman PH, Norwitz ER. Cesarean scar ectopic pregnancy: case series and review of the literature. Am J Perinatol. 2010;27:111-20
  • Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL, Hwang JL. Cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol. 2004;23:247-53.
  • Phupong V, Narasethkamol A, Ultchaswadi P. Pregnancy in cesarean sec- tion scar. J Obstet Gynaecol. 2011;31:204-6.
  • Godin PA, Bassil S, Donnez J. An ectopic pregnancy developing in a previous cesarean section scar. Fertil Steril 1997; 67: 398 – 400.
  • Seow KM, Cheng WC, Chuang J, Lee C, Tsai YL, Hwang JL. Methotrexate for cesarean scar pregnancy following in vitro fertilization and embryo transfer: A case report. J Reprod Med 2000; 45: 754–757.
  • Yan CM. A report of four cases of cesarean scar pregnancy in a period of 12 months. Hong Kong Med J. 2007 ;13:141-3.
  • Cao S, Zhu L, Jin L, Gao J, Chen C. Uterine artery embolization in cesar- ean scar pregnancy: safe and effective intervention. Chin Med J (Engl). 2014;127:2322-6.
  • Nankali A, Ataee M, Shahlazadeh H, Daeichin S. Surgical management of the cesarean scar ectopic pregnancy: a case report. Case Rep Obstet Gynecol. 2013;2013:525187.
  • Litwicka K, Greco E. Cesarean scar pregnancy: a review of management options. Curr Opin Obstet Gynecol. 2013 ;25:456-61.
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Ebru Hacer Biberoğlu This is me

Ayse Kırbaş

Halil Korkut Daglar This is me

Şevki Çelen This is me

Turhan Çaglar This is me

Salim Erkaya This is me

Dilek Uygur This is me

Nuri Danışman This is me

Publication Date June 1, 2016
Published in Issue Year 2016 Özel Sayı

Cite

Vancouver Biberoğlu EH, Kırbaş A, Daglar HK, Çelen Ş, Çaglar T, Erkaya S, Uygur D, Danışman N. Sezaryen Skar Ektopik Gebelik: Olgu Serisi. JGON. 2016;13:4-5.