Cesarean scar pregnancy: An emerging challenge

An Shine Chao*, Angel Chao, Chin Jung Wang

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

The high prevalence of cesarean section is closely related to the increasing number of cesarean scar pregnancies. Ultrasound provides early and accurate diagnosis of an ectopic pregnancy in a cesarean section defect, allowing fertility preservation by using minimally invasive procedures and reducing maternal complications. The sonographic appearances, based on history and clinical symptoms, of a pregnancy implanted into a cesarean scar have to be recognized during routine obstetric practice. Laparoscopy or hysteroscopy management would be considered in early scar pregnancies. Combined systemic and intra-amniotic methotrexate injection also yield high success rates but require serial ultrasound investigations and follow-up with serum beta-hCG in the following weeks.

Original languageEnglish
Pages (from-to)268-271
Number of pages4
JournalJournal of Medical Ultrasound
Volume16
Issue number4
DOIs
StatePublished - 2008

Keywords

  • Cesarean section
  • Ectopic pregnancy
  • Ultrasound

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