Successful pregnancy located in a uterine cesarean scar: A case report

This report suggests that successful pregnancy outcome can be achieved in some women with uterine cesarean scar, but further analysis and additional studies are required in order to describe the optimal protocol of expectant management in CSP.
Source: Case Reports in Womens Health - Category: OBGYN Source Type: research

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ConclusionWe report a case of CSP that, following an initial apparently “successful” treatment with methotrexate, required surgical management due to heavy bleeding.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionThe robotic-assisted laparoscopy view, with the 3-D dimension, and the forceps joint make the suture easily to be performed by the gynecologic surgeon.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
To show the laparoscopic management of a c-section scar pregnancy aided by transient uterine artery clipping to limit bleeding.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Open Communications 24:  Laparoscopy (3:05 PM – 4:05 PM) 3:33 PM Source Type: research
This article will discuss and show different and variable sonographic presentations of scar niches and uterine postpartum ultrasonography with vaginal birth after cesarean section that can be confusing and many should be unaware of. This brief review aims to help practitioners to avoid confusion and be aware and acquainted with the different sonographic findings encountered in practice related to cesarean scar. It can lead to uterine rupture I labour, dehiscence in pregnancy and placenta accreta in the future pregnancy, but this is not evidence-based and not even a contraindication for pregnancy. It is neither an indicatio...
Source: Journal of Ultrasound - Category: Radiology Source Type: research
Conclusion: HIFU followed by USg-D&C is an effective and safe treatment for patients with CSP who wish to conceive. Prospective multi-center studies with larger sample sizes and longer follow-up periods are needed to compare this treatment with others. PMID: 31466485 [PubMed - in process]
Source: International Journal of Hyperthermia - Category: Internal Medicine Tags: Int J Hyperthermia Source Type: research
We report the second pregnancy-associated acute myocardial infarction case successfully treated with ticagrelor before and after primary percutaneous coronary intervention with drug eluting stent implantation on left coronary artery, but also the first report on use of bridging antiplatelet therapy with tirofiban during temporary withdrawal of ticagrelor because of a C-section.
Source: Journal of Thrombosis and Thrombolysis - Category: Hematology Source Type: research
A 30-year-old gravida 4, para 2 with two prior cesarean sections presented with persistent abnormal uterine bleeding one month following a surgical abortion at 7-weeks-gestation. 3D ultrasonography demonstrated a 6 cm vascular heterogenous mass at the prior uterine incision with lateral extension beyond the cesarean section scar concerning for placental increta (Fig 1). An ultrasound-guided dilation and curettage was performed by the family planning division to rule out a new pregnancy or placental tumor in light of abnormal beta-HCG levels (56-114 mIU/mL), but pathological examination only yielded necrotic placental tissue.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecological Surgery Source Type: research
We report two cases to demonstrate the accuracy of transvaginal ultrasound in the prenatal diagnosis of VP. A 40-year-old primiparous Caucasian woman with IVF pregnancy was diagnosed with VP at 29 weeks of gestation and was hospitalized for observation at 31 weeks of gestation. She delivered a male newborn weighing 2,380 g, with an Apgar score of 10 at 5 minutes, by elective cesarean section at 34 weeks + 4 days of gestation, without complications. A 36-yearold primiparous Caucasian woman with IVF pregnancy was diagnosed with placenta previa, bilobed placenta increta and VP. The cord insertion was velamentous. She was hosp...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
We report a case of massive bleeding due to a coagulation disorder associated with acute fatty liver of pregnancy (AFLP); the patient survived by massive transfusion. She presented at 34 weeks of gestation, met six of the Swansea criteria, and was diagnosed with severe AFLP. We performed an emergency cesarean section because termination of the pregnancy was necessary for the treatment of the AFLP. After the surgery, which led to massive bleeding in the peritoneal cavity due to the coagulation disorder, she underwent two further operations and three transarterial embolizations. She received factor VII and underwent plasma...
Source: Case Reports in Womens Health - Category: OBGYN Source Type: research
SUMMARY An isthmocele, a cesarean scar defect or uterine niche, is any indentation representing myometrial discontinuity or a triangular anechoic defect in the anterior uterine wall, with the base communicating to the uterine cavity, at the site of a previous cesarean section scar. It can be classified as a small or large defect, depending on the wall thickness of the myometrial deficiency. Although usually asymptomatic, its primary symptom is abnormal or postmenstrual bleeding, and chronic pelvic pain may also occur. Infertility, placenta accrete or praevia, scar dehiscence, uterine rupture, and cesarean scar ectopic preg...
Source: Revista da Associacao Medica Brasileira - Category: General Medicine Source Type: research
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