Diagnosis and Management of Cesarean Scar Ectopic Pregnancy: A Case Study.

Autor: Itani S; Medicine, Texas A&M College of Medicine, Bryan, USA., Jabin M; Medicine, Texas A&M College of Medicine, Bryan, USA., Dasara H; Medicine, Texas A&M College of Medicine, Bryan, USA., Forehand K; Radiology, Baylor University Medical Center, Dallas, USA., DePrisco G; Diagnostic Radiology, Baylor University Medical Center, Dallas, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Sep 13; Vol. 15 (9), pp. e45160. Date of Electronic Publication: 2023 Sep 13 (Print Publication: 2023).
DOI: 10.7759/cureus.45160
Abstrakt: A cesarean scar ectopic pregnancy (CSEP) designates an ectopic pregnancy within the myometrium of a past uterine incision. Early diagnosis through transvaginal ultrasonography is crucial as an untreated CSEP can lead to serious complications, including hemorrhage, loss of future fertility, and maternal death. We present a case of a 33-year-old female with five previous cesarean sections, who presented at seven weeks of gestation with concerns of a CSEP. Here, we highlight the importance of early diagnosis and maintaining high clinical suspicion in women with multiple previous cesarean sections who present with menstrual abnormalities. The CSEP is a serious condition and requires a high index of suspicion during diagnosis and follow-up. Ultrasound scanning and training should be readily available to quickly identify and treat this life-threatening condition.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Itani et al.)
Databáze: MEDLINE