Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature Review

Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy located in the lower uterine segment. The current increase in the percentage of cesarean sections is accompanied by significant growth in the incidence of CSP, while advances in ultrasound diagnostic techniques have led to a greater n...

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Main Authors: Manuel Sánchez-Prieto, María Jesús Puy, Núria Barbany, Betlem Graupera, Maria Angela Pascual, Pere Barri-Soldevila
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2022/1793943
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author Manuel Sánchez-Prieto
María Jesús Puy
Núria Barbany
Betlem Graupera
Maria Angela Pascual
Pere Barri-Soldevila
author_facet Manuel Sánchez-Prieto
María Jesús Puy
Núria Barbany
Betlem Graupera
Maria Angela Pascual
Pere Barri-Soldevila
author_sort Manuel Sánchez-Prieto
collection DOAJ
description Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy located in the lower uterine segment. The current increase in the percentage of cesarean sections is accompanied by significant growth in the incidence of CSP, while advances in ultrasound diagnostic techniques have led to a greater number of CSP diagnoses. A misdiagnosed CSP, or one that is diagnosed too late, is life-threatening to the pregnant patient and predisposes her to complications such as uterine bleeding or rupture, which often require hysterectomy and thus result in the irreversible loss of fertility. We present the case of a 50-year-old woman with a history of undiagnosed CSP after multiple consultations for intermittent bleeding and hemorrhage. She was diagnosed by ultrasound and the diagnosis was confirmed by hysteroscopy. She underwent conservative medical treatment that was successful.
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institution Kabale University
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-a460d251cbfa485c8ad672dd16dbd1552025-08-20T03:38:13ZengWileyCase Reports in Obstetrics and Gynecology2090-66922022-01-01202210.1155/2022/1793943Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature ReviewManuel Sánchez-Prieto0María Jesús Puy1Núria Barbany2Betlem Graupera3Maria Angela Pascual4Pere Barri-Soldevila5Department of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyCesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy located in the lower uterine segment. The current increase in the percentage of cesarean sections is accompanied by significant growth in the incidence of CSP, while advances in ultrasound diagnostic techniques have led to a greater number of CSP diagnoses. A misdiagnosed CSP, or one that is diagnosed too late, is life-threatening to the pregnant patient and predisposes her to complications such as uterine bleeding or rupture, which often require hysterectomy and thus result in the irreversible loss of fertility. We present the case of a 50-year-old woman with a history of undiagnosed CSP after multiple consultations for intermittent bleeding and hemorrhage. She was diagnosed by ultrasound and the diagnosis was confirmed by hysteroscopy. She underwent conservative medical treatment that was successful.http://dx.doi.org/10.1155/2022/1793943
spellingShingle Manuel Sánchez-Prieto
María Jesús Puy
Núria Barbany
Betlem Graupera
Maria Angela Pascual
Pere Barri-Soldevila
Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature Review
Case Reports in Obstetrics and Gynecology
title Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature Review
title_full Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature Review
title_fullStr Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature Review
title_full_unstemmed Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature Review
title_short Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature Review
title_sort conservative management of cesarean scar pregnancy a case report and literature review
url http://dx.doi.org/10.1155/2022/1793943
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