Caesarean section scar pregnancy: a case series

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dc.contributor.authorAn, TYen_US
dc.contributor.authorNagandla, Ken_US
dc.contributor.authorKrishnan, KKHen_US
dc.contributor.authorDaniel, Aen_US
dc.date.accessioned2024-11-30T05:54:47Z
dc.date.available2024-11-30T05:54:47Z
dc.date.issued2024-04
dc.description.abstractCesarean scar pregnancy is a rare type of ectopic pregnancy but potentially life threatening. The incidence of this ectopic pregnancy continues to rise due to global increase in cesarean sections rates as well as the diagnosis with wide use of transvaginal ultrasound. Delay or wrong diagnosis may result to uterine rupture and life-threatening bleeding with potential maternal morbidity and mortality. Endo-vaginal ultrasound has a reported sensitivity of 85-90% for detection. In difficult cases, magnetic resonance imaging is often useful as second line imaging. Treatment may be ranging from conservative to medical therapy or surgery. We present a series of three illustrative cases successfully managed with medical management and sequential treatment of medical and surgical management. We discuss diagnostic challenges and review of literature on updates on management strategies.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Hospital Tuanku Jaafar, Jalan Rasah, Seremban, Malaysiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, IMU health Care, Associate Dean Academic affairs, International Medical University, 126, Jln Jalil Perkasa 19, Bukit Jalil, Kuala Lumpur, Malaysiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Fetal Medicine Specialist, Hospital Tuanku Jaafar, Jalan Rasah, Seremban, Malaysiaen_US
dc.identifier.affiliationsWest Middlesex University Hospital, Twickenham Rd, Isleworth, United Kingdomen_US
dc.identifier.citationAn TY, Nagandla K, Krishnan KKH, Daniel A. Caesarean section scar pregnancy: a case series. International Surgery Journal. 2024 Apr; 11(4): 612-616en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/236113
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18203/2349-2902.isj20240752en_US
dc.subjectCesarean sectionen_US
dc.subjectScar pregnancyen_US
dc.subjectMethotrexateen_US
dc.subjectSerum ?-hCGen_US
dc.titleCaesarean section scar pregnancy: a case seriesen_US
dc.typeJournal Articleen_US
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