Caesarean section scar pregnancy: a case series at a single tertiary centre.
- Author:
Yi Ping Cindy PANG
1
;
Wei Ching TAN
;
Tze Tein YONG
;
Poh Kim Elisa KOH
;
Hak Koon TAN
;
Tew Hong HO
Author Information
1. Department of Obstetrics and Gynaecology, Singapore General Hospital, Outram Road, Singapore 169608. cindypangyp@yahoo.com
- Publication Type:Case Reports
- MeSH:
Abortion, Induced;
methods;
Adult;
Cesarean Section;
adverse effects;
Cicatrix;
complications;
Female;
Humans;
Magnetic Resonance Imaging;
Pregnancy;
Pregnancy, Ectopic;
diagnosis;
etiology;
therapy;
Treatment Outcome
- From:Singapore medical journal
2012;53(10):638-642
- CountrySingapore
- Language:English
-
Abstract:
We present a case series of four patients with Caesarean scar pregnancies (CSPs) managed at our gynaecological unit between October 2008 and May 2009. Three patients were detected while asymptomatic, and were treated with elective intragestational sac methotrexate injections. The last patient had presented following complications from a termination of pregnancy for a CSP that was misdiagnosed as intrauterine. Following treatment, this patient and another developed arteriovenous malformation, which responded to bilateral uterine artery embolisations and gonadotropin releasing hormone (GnRH)-agonist treatment.