HETEROPTROPHİC CESAREAN SCAR PREGNANCY

Cesarean Scar Pregnancy defined by Larsen and Solomon in 1978   for the first time, have great importance in ectopic pregnancy due to the difficulties in diagnosis and clinical management. This incidence continues to rise because of the increasing number of cesarean deliveries worldwide. Cesarean Scar Pregnancy, especially heterothopic Cesarean Scar Pregnancy may cause serious morbidity and mortality in pregnancy. Although ıt has been reported in the literature before, heterothopic  Cesarean Scar Pregnancy  have been very rarely reported in the litarature. In this paper we report a intrauterine pregnancy associated with  cesarean Scar Pregnancy . As an identified cesarean scar pregnancy or heterothopic  Cesarean Scar Pregnancy  was detected, early ultrasound-guided suction curettage may be an effective and safe treatment.ÖZETSezaryen skar gebeliği ilk defa Larsen and Solomon tarafından 1978 yılında tanımlanmıştır, klinik yönetim ve tanı koymadaki zorluk nedeniyle ektopik gebelikler içerisinde büyük öneme sahiptir. Tüm dünyada sezaryen oranlarının artması nedeniyle insidans giderek artarak devam etmektedir. Sezaryen skar gebeliği özelliklede heterotopic sezaryen skar gebeliği gebelikte ciddi morbidite ve mortaliteye sebep olabilir. Daha önce  litaratürde bildirilmesine ragmen hetorotopik sezaryen skar gebeliği çok nadir olarak bildirilmiştir.Biz intrauterin gebelikle birlikte görülen, sezaryen skar gebeliğini olgusunu sunduk. Sezaryen skar gebeliği veya heterotopic sezaryen skar gebeliği tespit edildiğinde, ultrason görüntülemesi altında erkenden karmen küretaj ile başarılı ve emniyetli olarak tedavi edilebilir

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  • - Larsen JV, Solomon MH. Pregnancy in a uterine scar sacculus – an unusual cause of postabortal haemorrhage. A case report. S afr med j 1978;53:142–3
  • - Osborn DA, Williams TR, Craig BM. Cesarean scar pregnancy: sonographic and magnetic resonance imaging findings, complications, and treatment. J ultrasound med 2012;31:1449–56.
  • - Litwicka K, Greco E. Caesarean scar pregnancy: a review of management options. Curr opin obstet gynecol 2011;23:415–21.
  • - Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL, Hwang JL. Cesarean scar pregnancy: issues in management. Ultrasound obstet gynecol 2004;23:247–53.
  • - Godin PA, Bassil S, Donnez J. An ectopic pregnancy developing in a previous caesarean section scar. Fertil steril 1997;67:398–400.
  • - Shih JC. Cesarean scar pregnancy: diagnosis with three-dimensional (3d) ultrasound and 3d power doppler. Ultrasound obstet gynecol 2004;23:306–7.
  • - Vial Y, Petignat P, Hohlfeld P. Pregnancy in a cesarean scar. Ultrasound obstet gynecol 2000;16:592–3.
  • - Tamai K, Koyama T, Togashi K. Mr features of ectopic pregnancy. Eur radiol 2007;17:3236e46.
  • - Chiang AJ, La V, Chou CP, et al. Ectopic pregnancy in a cesarean section scar. Fertil steril 2011;95:2388e9.
  • - Wu X, Zhang X, Zhu J, et al. Caesarean scar pregnancy: comparative efficacy and safety of treatment by uterine artery chemoembolization and systemic methotrexate injection. Eur j obstet gynecol reprod biol 2012; 161:75–79.
  • - Maymon R, Halperin R, Mendlovic S, Schneider D, Herman A. Ectopic pregnancies in a caesarean scar: review of the medical approach to an iatrogenic complication. Hum reprod update 2004;10:515–23.
  • - Fylstra DL. Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv 2002;57:537–43.
  • - Fait G, Goyert G, Sundareson A, Pickens A Jr. Intramural pregnancy with fetal survival: case history and discussion of etiologic factors. Obstet Gynecol 1987;70:472–4.
  • - Seow KM, Cheng WC, Chuang J, Lee C, Tsai YL, Hwang JL. Methotrexate for caesarean section scar pregnancy after in vitro fertilisation and embryo transfer. A case report. J Reprod Med 2000;45: 754–7.
  • - Ferrara L, Belogolovkin V, Gandhi M, et al. Successful management of a consecutive cervical pregnancy by sonographically guided transvaginal local injection: case report and review of the literature. J ultrasound med 2007;26: 959–65.
  • - Jurkovic D, Ben-nagi J, Ofilli-yebovi D, Sawyer E, Helmy S, Yazbek J. Efficacy of shirodkar cervical suture in securing hemostasis following surgical evacuation of cesarean scar ectopic pregnancy. Ultrasound obstet gynecol 2007;30:95–100.
  • - Jurkovic D, Hillaby K, Woelfer B, Lawrence A, Salim R, Elson CJ. First trimester diagnosis and management of pregnancies implanted into the lower uterine segment cesarean section scar. Ultrasound obstet gynecol 2003;21:220–7.
  • - Timor-tritsch İE, Monteagudo A. Unforeseen consequences of the Increasing rate of cesarean deliveries: early placenta accrete and cesarean scar pregnancy. A review. Am j obstet gynecol 2012;207:14–29.
  • - Muraji M, Mabuchi S, Hisamoto K, Muranishi M, Kanagawa T, Nishio Y, et al. Cesarean scar pregnancies successfully treated with methotrexate. Acta obstet gynecol scand 2009;88:720–3.
  • - Yang XY, Yu H, Li KM, Chu YZ, Zheng A. Uterine artery embolisation combined with local methotrexate for treatment of caesarean scar pregnancy. Bjog 2010;117:990–6.
  • - Ben nagi J, Ofili-yebovi D, Marsh M, Jurkovic D. First-trimester cesarean scar pregnancy evolving into placenta previa/accreta at term. J ultrasound med 2005;24:1569–73.
  • - Leeman LM, Wendland CL. Cervical ectopic pregnancy: diagnosis with endo vaginal ultrasound examination and successful treatment with mtx. Arch fam med 2000;9:72–7.
  • - Moragianni VA, Hamar BD, Mcardle C, Ryley DA. Management of a cervical heterotopic pregnancy presenting with first-trimester bleeding: case report and review of the literature. Fertil steril 2012;98:89–94.
  • - Roberts H, Kohlenber C, Lanzarone V, Murray H. Ectopic pregnancy in lower segment uterine scar. Aust n z j obstet gynaecol 1998;38:114–6.
  • - Weimin W, Wenqing L. Effect of early pregnancy on a previous lower segment cesarean section scar. Int j gynaecol obstet 2002;77:201–7.
  • Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic Pregnancies: etiology, diagnosis, and management. Obstet Gynecol 2006; 107: 1373–1381.
  • - Wang CJ, Yuen LT, Chao AS, Lee CL, Yen CF, Soong YK. Caesarean scar pregnancy successfully treated by operative hysteroscopy and suction curettage. Br j obstet gynecol 2005;112:839–40.
  • - Deans R, Abbott J. Hysteroscopic management of cesarean scar ectopic pregnancy. Fertil steril 2010;93:1735–40.
Bozok Tıp Dergisi-Cover
  • ISSN: 2146-4006
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2015
  • Yayıncı: Bozok Üniversitesi
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