TITLE:
The Diagnosis and Treatment for a Special Type of Cesarean Scar Pregnancy
AUTHORS:
Shili Su, Jinping Liu, Baihua Dong
KEYWORDS:
Cesarean Scar Pregnancy, Diagnosis, Treatment, Ultrasound
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.8,
July
31,
2015
ABSTRACT: Caesarean scar
pregnancy (CSP) is a rare form of ectopic pregnancy, and its incidence has been increased due
to the increased rate of Cesarean sections performed. A special type of CSP, concealed
CSP, was found in the clinical work in our institution. A retrospective review was
performed. From September 2011 to June 2014, 208 women were presented with cesarean scar pregnancy by use of transvaginal
color Doppler sonography. The medical records were consulted to collect the demographics
and pertinent information. Six of them were determined to be concealed CSP. Four
women were diagnosed in the first-trimester pregnancy after termination of pregnancy.
The initial ultrasound of the other two women displayed that the gestational sacs
were located in the lower uterine cavity. Placenta accrete, increta and previa were
diagnosed by the following ultrasounds. Concealed CSP is a very unusual form of CSP. Continued pregnancy may be sufficiently
evaluated because of subsequently serious complications. Our results indicate that
continued pregnancy increases the risk of
laparotomy and hysterectomy. Medical abortion in the first-trimester pregnancy should
be considered as the optimal choice for the women with prior cesarean sections who
want to terminate the gestation.