Definition and diagnosis of cesarean scar ectopic pregnancies

Nijjar, S; Jauniaux, Eric

doi:10.1016/j.bpobgyn.2023.102360

Cited by 4 publications

(2 citation statements)

References 75 publications

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“…Additionally, transabdominal ultrasound (TAS) can demonstrate the relationship between the gestational sac and the bladder when properly filled. 16 In color and power Doppler ultrasounds, abundant low‐impedance flow signals can be obtained to determine the blood flow to the mass. 10 In terms of diagnosing CSP, determining treatment options, and determining prognoses, TVS, TAS, and Doppler ultrasound appear to be of significant value together.…”

Section: Introductionmentioning

confidence: 99%

“…By performing this procedure, one can find out the size, and shape of the gestational sac, the thickness of the myometrium around the scar, and embryo, as well as the yolk sac and the heartbeat in the gestational sac. Additionally, transabdominal ultrasound (TAS) can demonstrate the relationship between the gestational sac and the bladder when properly filled 16 . In color and power Doppler ultrasounds, abundant low‐impedance flow signals can be obtained to determine the blood flow to the mass 10 .…”

Section: Introductionmentioning

confidence: 99%

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A rare case report of heterotopic cesarean scar pregnancy in the 8th week of gestation that was managed successfully by exploratory laparotomy with dilation and curettage

Karbasi,

Aletaha,

Ahangar‐Sirous

et al. 2024

Clinical Case Reports

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Key Clinical MessageSwift and precise identification of heterotopic cesarean scar pregnancy, coupled with standardized treatment approaches for handling possible serious complications, form an essential component in reaching favorable outcomes for patients experiencing this rare type of pregnancy.AbstractHeterotopic pregnancy (HP) denotes a form of multiple gestation where intrauterine and ectopic pregnancies coexist. Cesarean scar ectopic pregnancy, on the other hand, involves the implantation of a fetus over the previous cesarean scar. This condition poses a significant risk of uterine rupture, which may lead to serious health complications, and even death. We report a case of a fit 37‐year‐old woman with two previous cesarean deliveries who was diagnosed with a heterotopic cesarean scar pregnancy at 8 weeks gestation following symptoms of lower abdominal pain and delayed menstruation. Both pregnancies demonstrated cardiac activity and the portion of the myometrium located between the bladder wall and the gestational sac was noted to exhibit considerable thinness. The patient underwent an exploratory laparotomy coupled with dilation and curettage and recovered uneventfully. The proper management of a HCSP requires timely diagnosis through ultrasonography. Early diagnosis allows for immediate intervention to prevent complications such as uterine rupture or potentially lethal bleeding.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A rare case report of heterotopic cesarean scar pregnancy in the 8th week of gestation that was managed successfully by exploratory laparotomy with dilation and curettage

Karbasi,

Aletaha,

Ahangar‐Sirous

et al. 2024

Clinical Case Reports

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Advanced repair of recurrent and low-large hysterotomy defects using a myometrial glide flap

Palacios-Jaraquemada,

Basanta,

Nieto-Calvache

2024

The Journal of Maternal-Fetal & Neonatal Medicine

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Outcome Reporting in Studies Investigating Treatment for Caesarean Scar Ectopic Pregnancy: A Systematic Review

Nijjar,

Sandhar,

Timor‐Tritsch

et al. 2024

BJOG

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BackgroundCaesarean scar ectopic pregnancy (CSEP) is associated with significant maternal and foetal morbidity. However, the optimal treatment remains unknown.ObjectivesThe aim of this study was to review outcomes reported in studies on CSEP treatment and outcome reporting quality.Search StrategyWe reviewed 1270 articles identified through searching PubMed, MEDLINE and Google Scholar from 2014 to 2024 using the search terms ‘caesarean scar ectopic pregnancy and caesarean scar pregnancy’.Selection CriteriaWe included all study types evaluating any form of CSEP treatment, with a sample size of ≥ 50, where diagnosis was described, and the article was in English.Data Collection and AnalysisTwo authors independently reviewed studies and assessed outcome reporting and methodological quality. The relationship between outcome reporting quality and publication year and journal type was assessed with univariate and bivariate models.Main ResultsA total of 108 studies, including 17 941 women, were included. 83% of all studies originated from China. Studies reported on 326 outcomes; blood loss (86%), need for additional intervention (77%) and time for serum hCG to normalise post treatment (69%) were the most common outcomes. A primary outcome was clearly defined in 11 (10%) studies. The median quality of outcome reporting was 3 (IQR 3–4). No relationship was demonstrated between outcome reporting quality and publication year (p = 0.116) or journal type (p = 0.503).ConclusionsThis review demonstrates that there is a wide variation in outcomes reported in studies on CSEP treatment. Development and implementation of a core outcome set by international stakeholders which includes patients is urgently needed to enable high‐quality research that is both useful and relevant to patients.

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Definition and diagnosis of cesarean scar ectopic pregnancies

Cited by 4 publications

References 75 publications

A rare case report of heterotopic cesarean scar pregnancy in the 8th week of gestation that was managed successfully by exploratory laparotomy with dilation and curettage

A rare case report of heterotopic cesarean scar pregnancy in the 8th week of gestation that was managed successfully by exploratory laparotomy with dilation and curettage

Advanced repair of recurrent and low-large hysterotomy defects using a myometrial glide flap

Outcome Reporting in Studies Investigating Treatment for Caesarean Scar Ectopic Pregnancy: A Systematic Review

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