Publication: Cesarean scar pregnancy: A case report and literature review
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Issued Date
2019
Resource Type
File Type
application/pdf
ISSN
1252208
Other identifier(s)
2-s2.0-85070540143
Rights Holder(s)
Scopus
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol 102, No.7 (2019), p.105-110
Suggested Citation
Rodpenpear N., Laosooksathit W., Phasipol P., Promsonthi P., Raungrongmorakot K., Rangsirattanakul L. Cesarean scar pregnancy: A case report and literature review. Journal of the Medical Association of Thailand. Vol 102, No.7 (2019), p.105-110. Retrieved from: https://hdl.handle.net/20.500.14740/5255
Abstract
Cesarean scar pregnancy (CSP) is a rare disease. Because of the serious consequences of the disease, early diagnosis and treatment are very important. Furthermore, the diagnosis is difficult and the standard treatment is still unknown. We reported a rare case of 33-year-old woman, Para 2-0-0-2 with cesarean section of prior two pregnancies, presented with abnormal vaginal bleeding for 2 months. The uterus was slightly enlarged but otherwise unremarkable. Urine pregnancy test was positive. Gestational age was about 8 weeks from the last periods. Transvaginal ultrasonography revealed heteroechoic mass size 4.89x3.99x5.42 cm at anterior lower uterine segment occupied the hold thickness of the myometrium, adjacent to the uterine serosa. These findings were compatible with a cesarean scar pregnancy. After counseling regarding treatment options, the patient and her family could not accept risks for uterine preserving treatment and subsequence pregnancy complications and thus chose definitive surgery, hysterectomy. After surgery, no complication was observed. Therefore, hysterectomy is an alternative option for cesarean scar pregnancy treatment who could not take the risk of uterine preserving treatment. © JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND| 2019.
Subject(s)
Chorionic gonadotropin beta subunit
Adult
Article
Bladder dome
Blood clot
Case report
Cesarean scar pregnancy
Cesarean section
Clinical article
Endometrium
Female
Gestational age
Gestational sac
Human
Human tissue
Hysterectomy
Myometrium
Operative blood loss
Patient counseling
Placenta previa
Pregnancy
Pregnancy complication
Pregnancy test
Premature labor
Rare disease
Transvaginal echography
Uterus cavity
Uterus myoma
Uterus rupture
Vagina bleeding
Vagina mucosa
Adult
Article
Bladder dome
Blood clot
Case report
Cesarean scar pregnancy
Cesarean section
Clinical article
Endometrium
Female
Gestational age
Gestational sac
Human
Human tissue
Hysterectomy
Myometrium
Operative blood loss
Patient counseling
Placenta previa
Pregnancy
Pregnancy complication
Pregnancy test
Premature labor
Rare disease
Transvaginal echography
Uterus cavity
Uterus myoma
Uterus rupture
Vagina bleeding
Vagina mucosa