Extreme enhanced myometrial vascularity following cesarean scar pregnancy: a new diagnostic entity.

Objective: To define, illustrate and to follow-up the diagnosis, pathophysiology and treatment of a subset of the known enhanced myometrial vascularity (EMV): its extreme form, associated with cesarean scar pregnancies (CSP) and with some cases pf placenta accreta spectrum being at increased risk of significant bleeding complications. We also aim to provide guidance to the management of such cases.

Material And Methods: This is an IRB-approved retrospective observational study of thirteen patients with an extreme form of EMV complicating CSPs.