Cesarean scar pregnancy - a new challenge for obstetricians

Journal of Ultrasonography
Piotr PędraszewskiGrzegorz Surkont

Abstract

Diagnosis and treatment of ectopic cesarean scar pregnancy has become a challenge for contemporary obstetrics. With an increase in the number of pregnancies concluded with a cesarean section and with the development of transvaginal ultrasonography, the frequency of cesarean scar pregnancy diagnoses has increased as well. The aim of the study is to evaluate various diagnostic methods (ultrasonography in particular) and analyze effective treatment methods for cesarean scar pregnancy. An ultrasound scan, Doppler examination and magnetic resonance imaging are all useful in early detection of asymptomatic cesarean scar pregnancy, thus enabling effective treatment and preservation of fertility. Dilatation and curettage is not recommended as it carries significant risk of bleeding and very high risk of hysterectomy and fertility loss. Systemic methotrexate treatment should not be applied on the routine basis due to its low efficacy, high risk of fertility loss and adverse effects. Local methotrexate therapy (under ultrasound or hysteroscopy guidance) should be considered a perfect management method as it offers fertility preservation in asymptomatic pregnant patients without concomitant hemodynamic disorders. Synchronous usage of seve...Continue Reading

Citations

Oct 28, 2019·BMC Pregnancy and Childbirth·Ri-Hua XieShi Wu Wen
Nov 15, 2019·Journal of Clinical Ultrasound : JCU·Kuntharee TraisrisilpTheera Tongsong
Jan 17, 2020·The Journal of Obstetrics and Gynaecology Research·XianYi ZhouXiaoDong Fu
Feb 6, 2021·Seminars in Ultrasound, CT, and MR·Cristina MosconiRoberto Cioni
Feb 22, 2021·Obstetrics & Gynecology Science·Payam Katebi KashiG Scott Rose
May 14, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ellen HofgaardJan Persson
Aug 20, 2021·Journal of Obstetrics and Gynaecology of India·Taru GuptaMonica Kanyal

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Methods Mentioned

BETA
cesarean section
cesarean sections
amputation
imaging technique
hysterectomy

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