A Case of Misdiagnosed Cesarean Scar Pregnancy with a Viable Birth at 28 Weeks

We report our experience with a case of presumptive cesarean scar pregnancy, based on detection of a gestational sac (GS) in early pregnancy at the site of a previous cesarean scar. The GS grew into the uterine cavity as the pregnancy progressed, showing an ultrasound image similar to that of a norm...

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Main Authors: Sakiko Nukaga, Shigeru Aoki, Kentaro Kurasawa, Tsuneo Takahashi, Fumiki Hirahara
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/375685
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author Sakiko Nukaga
Shigeru Aoki
Kentaro Kurasawa
Tsuneo Takahashi
Fumiki Hirahara
author_facet Sakiko Nukaga
Shigeru Aoki
Kentaro Kurasawa
Tsuneo Takahashi
Fumiki Hirahara
author_sort Sakiko Nukaga
collection DOAJ
description We report our experience with a case of presumptive cesarean scar pregnancy, based on detection of a gestational sac (GS) in early pregnancy at the site of a previous cesarean scar. The GS grew into the uterine cavity as the pregnancy progressed, showing an ultrasound image similar to that of a normal pregnancy. Thus, the pregnancy continued, resulting in a viable birth at 28 weeks of gestation. Cesarean scar pregnancy is classified as myometrial implantation or implantation growth into the uterine cavity. In the latter type, the gestational sac moves upward with increasing gestational weeks and it shows the same ultrasound image as a normal pregnancy. Therefore, the diagnosis must be made in the early pregnancy.
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publishDate 2014-01-01
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-15d7b71d2c9c4a30a74043172c8693982025-02-03T01:23:54ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/375685375685A Case of Misdiagnosed Cesarean Scar Pregnancy with a Viable Birth at 28 WeeksSakiko Nukaga0Shigeru Aoki1Kentaro Kurasawa2Tsuneo Takahashi3Fumiki Hirahara4Perinatal Center for Maternity and Neonate, Yokohama City University Medical Center, 4-57 Urafunecyou, Minami-ku, Yokohama, Kanagawa 232-0024, JapanPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, 4-57 Urafunecyou, Minami-ku, Yokohama, Kanagawa 232-0024, JapanPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, 4-57 Urafunecyou, Minami-ku, Yokohama, Kanagawa 232-0024, JapanPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, 4-57 Urafunecyou, Minami-ku, Yokohama, Kanagawa 232-0024, JapanDepartment of Obstetrics and Gynecology, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa 236-0004, JapanWe report our experience with a case of presumptive cesarean scar pregnancy, based on detection of a gestational sac (GS) in early pregnancy at the site of a previous cesarean scar. The GS grew into the uterine cavity as the pregnancy progressed, showing an ultrasound image similar to that of a normal pregnancy. Thus, the pregnancy continued, resulting in a viable birth at 28 weeks of gestation. Cesarean scar pregnancy is classified as myometrial implantation or implantation growth into the uterine cavity. In the latter type, the gestational sac moves upward with increasing gestational weeks and it shows the same ultrasound image as a normal pregnancy. Therefore, the diagnosis must be made in the early pregnancy.http://dx.doi.org/10.1155/2014/375685
spellingShingle Sakiko Nukaga
Shigeru Aoki
Kentaro Kurasawa
Tsuneo Takahashi
Fumiki Hirahara
A Case of Misdiagnosed Cesarean Scar Pregnancy with a Viable Birth at 28 Weeks
Case Reports in Obstetrics and Gynecology
title A Case of Misdiagnosed Cesarean Scar Pregnancy with a Viable Birth at 28 Weeks
title_full A Case of Misdiagnosed Cesarean Scar Pregnancy with a Viable Birth at 28 Weeks
title_fullStr A Case of Misdiagnosed Cesarean Scar Pregnancy with a Viable Birth at 28 Weeks
title_full_unstemmed A Case of Misdiagnosed Cesarean Scar Pregnancy with a Viable Birth at 28 Weeks
title_short A Case of Misdiagnosed Cesarean Scar Pregnancy with a Viable Birth at 28 Weeks
title_sort case of misdiagnosed cesarean scar pregnancy with a viable birth at 28 weeks
url http://dx.doi.org/10.1155/2014/375685
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