Use and value of ultrasound in diagnosing cesarean scar pregnancy: a report of three cases
Buresch, A.M.; Chavez, M.R.; Kinzler, W.; Vintzileos, A.M.
Journal of Reproductive Medicine 59(9-10): 517-521
2014
ISSN/ISBN: 0024-7758 PMID: 25330699 Document Number: 672430
The incidence of cesarean scar pregnancy (CSP) is rising due to the increasing numbers of cesarean deliveries in the United States. However, little is known with respect to epidemiology, best screening methodologies, and treatment options. Three patients in their first trimester of pregnancy presented with a history of cesarean delivery and were diagnosed by pelvic ultrasound as having CSP. Methods of treatment included definitive surgery with hysterectomy or conservative management with methotrexate and lidocaine injection into the gestational sac. In patients with prior cesarean delivery, careful attention to all possible ultrasound signs of CSP during routine first trimester ultrasound is important for an early diagnosis, which can allow for various treatment options.