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Background: A rare, but potentially life-threatening complication of a Cesarean section is a so-called Cesarean scar pregnancy (CSP). This concerns an ectopic pregnancy, where the implantation takes place in a niche of the Cesarean section scar.
Case Description: We describe the case of a 29-year-old pregnant woman (G5P3), who after a amenorrhoea period of 6 weeks was referred to us by a midwife because the sonography showed an empty uterus. She had previously undergone two Cesarean sections. During transvaginal sonography we observed a small amiotic sac in the Cesarean section scar, lacking a clear heart rhythm.
Conclusion: Since there are no general guidelines for the treatment of CSP, a patient-specific approach should be taken to determine optimal management. There is, however, a clear preference to terminate the pregnancy as soon as possible.
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BMJ Case Rep
March 2025
Department of Clinical Sciences, Faculty of Medicine, General Sir John Kotelawala Defence University, Ratmalana, Sri Lanka.
A woman in her early 40s, who had two previous caesarean sections, at 10-week period of amenorrhoea presented to our hospital gynaecology clinic.A caesarean scar pregnancy (CSP) was diagnosed after performing a transvaginal scan.The diagnosis was explained to the patient, and the patient opted for expectant management.
View Article and Find Full Text PDFBMC Pregnancy Childbirth
March 2025
Department of Obstetrics and Gynecology, Shiga University of Medical Science, Seta Tsukinowa-cho, Otsu, Shiga, 520-2192, Japan.
Background: Cesarean scar defects can lead to long-term complications, such as cesarean scar disorders, cesarean scar pregnancy, and the risk of uterine scar dehiscence and rupture in subsequent pregnancy. However, the optimal closure technique to prevent the development of cesarean scar defects (CSD) remains unclear. Therefore, this study aimed to explore whether two-layer interrupted versus two-layer continuous sutures could prevent the formation of CSD.
View Article and Find Full Text PDFTaiwan J Obstet Gynecol
March 2025
Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Medical Research, China Medical University Hospital, Taichung, Taiwan; Female Cancer Foundation, Taipei, Taiwan. Electronic address:
Objective: Using an ultra-mini-wound technique to dissect the adhesion surrounding the umbilicus port site aiding laparoscopic staging surgery for treating a woman with an early-stage endometrioid endometrial cancer (E-EC) who had widespread and extensive abdominal adhesions secondary to the previous complicated cesarean section (C/S) and bladder rupture.
Case Report: A 70-year-old woman with a history of a previous C/S and complicating bladder rupture treated with the Boari flap repair, leaving a longitudinal depressed scar over the abdomen from the umbilicus site to pubic hair area in her 30s was scheduled for laparoscopic staging surgery due to early-stage E-EC. We performed an ultra-mini midline incision (3-cm) crossing the umbilicus to manually dissect the adhesion surrounding the umbilicus and inserted the main trocar port to establish the workplace for further laparoscopic staging surgery.
Wideochir Inne Tech Maloinwazyjne
October 2024
Department of Reproductive Medicine, Affiliated Hospital of Jinggangshan University, Ji'an, Jiangxi Province, China.
Introduction: Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy. Lack of timely CSP treatment can lead to severe postpartum bleeding, affect fertility, and threaten patients' life and health.
Aim: This work explored the use of laparoscopic temporary uterine artery blocking (TUAB) and uterine artery embolization (UAE) in treating CSP.
Cureus
January 2025
Obstetrics and Gynecology, Medcare Royal Specialty Hospital, Dubai, ARE.
Cesarean scar ectopic pregnancies (CSEP) are a rare type of ectopic pregnancy. This condition occurs when a blastocyst is implanted in the scar left by a previous cesarean section (C-section). CSEP can lead to a risk of maternal hemorrhage, which in severe cases can lead to maternal mortality.
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