Primary evacuation therapy for Cesarean scar pregnancy: three new cases and review
- 1 February 2006
- journal article
- case report
- Published by Wiley in Ultrasound in Obstetrics & Gynecology
- Vol. 27 (2), 222-226
- https://doi.org/10.1002/uog.2644
Abstract
We report three cases of first-trimester Cesarean scar pregnancy (CSP) treated with evacuation therapy. In one patient with a gestational age of 7 weeks and with deep sac implantation, there was massive uterine bleeding and uterine perforation following evacuation. The other two patients, both with a pregnancy < 7 weeks and with intrauterine gestational sacs, were successfully treated with surgical evacuation without complications. A MEDLINE search revealed 11 cases that fulfilled our criteria of a certain diagnosis of scar pregnancy and with evacuation as the primary treatment. The outcome of these 11 cases and that of our three new cases suggests that the combination of a gestational sac size corresponding to a gestational age >/= 7 weeks, coupled with a deep implantation, portend an unsatisfactory outcome of surgical evacuation as a means of treating CSP.This publication has 13 references indexed in Scilit:
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