The Rising Triad of Cesarean Scar Pregnancy, Placenta Percreta, and Uterine Rupture: A Case Report and Comprehensive Review of the Literature

As the rate of cesarean sections continues to rapidly rise, knowledge of diagnosis and management of cesarean scar pregnancies (CSPs) is becoming increasingly more relevant. CSPs rest on the continuum of placental abnormalities which include morbidly adherent placenta (accreta, increta, and percreta...

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Main Authors: Nikolina Docheva, Emily D. Slutsky, Nicolette Borella, Renee Mason, James W. Van Hook, Sonyoung Seo-Patel
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2018/8797643
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author Nikolina Docheva
Emily D. Slutsky
Nicolette Borella
Renee Mason
James W. Van Hook
Sonyoung Seo-Patel
author_facet Nikolina Docheva
Emily D. Slutsky
Nicolette Borella
Renee Mason
James W. Van Hook
Sonyoung Seo-Patel
author_sort Nikolina Docheva
collection DOAJ
description As the rate of cesarean sections continues to rapidly rise, knowledge of diagnosis and management of cesarean scar pregnancies (CSPs) is becoming increasingly more relevant. CSPs rest on the continuum of placental abnormalities which include morbidly adherent placenta (accreta, increta, and percreta). A CSP poses a clinical challenge which may have significant fetal and maternal morbidity. At this point, no clear management guidelines and recommendations exist. Herein we describe the case of a second trimester CSP with rapid diagnosis and management in a tertiary care center. The case underscores the need for well-coordinated mobilization of resources and a multidisciplinary approach. A review of the literature is performed and deficits in universal management principles are underscored.
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publishDate 2018-01-01
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-1db5780a65d94293be37474c20e964462025-02-03T01:03:07ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/87976438797643The Rising Triad of Cesarean Scar Pregnancy, Placenta Percreta, and Uterine Rupture: A Case Report and Comprehensive Review of the LiteratureNikolina Docheva0Emily D. Slutsky1Nicolette Borella2Renee Mason3James W. Van Hook4Sonyoung Seo-Patel5Department of Obstetrics and Gynecology, University of Toledo, Toledo, Ohio, USADepartment of Obstetrics and Gynecology, University of Toledo, Toledo, Ohio, USAMercyhurst University, Department of Biology, Eerie, Pennsylvania, USAPromedica Physicians Obstetrics-Gynecology, Maumee, Ohio, USADepartment of Obstetrics and Gynecology, University of Toledo, Toledo, Ohio, USADepartment of Obstetrics and Gynecology, University of Toledo, Toledo, Ohio, USAAs the rate of cesarean sections continues to rapidly rise, knowledge of diagnosis and management of cesarean scar pregnancies (CSPs) is becoming increasingly more relevant. CSPs rest on the continuum of placental abnormalities which include morbidly adherent placenta (accreta, increta, and percreta). A CSP poses a clinical challenge which may have significant fetal and maternal morbidity. At this point, no clear management guidelines and recommendations exist. Herein we describe the case of a second trimester CSP with rapid diagnosis and management in a tertiary care center. The case underscores the need for well-coordinated mobilization of resources and a multidisciplinary approach. A review of the literature is performed and deficits in universal management principles are underscored.http://dx.doi.org/10.1155/2018/8797643
spellingShingle Nikolina Docheva
Emily D. Slutsky
Nicolette Borella
Renee Mason
James W. Van Hook
Sonyoung Seo-Patel
The Rising Triad of Cesarean Scar Pregnancy, Placenta Percreta, and Uterine Rupture: A Case Report and Comprehensive Review of the Literature
Case Reports in Obstetrics and Gynecology
title The Rising Triad of Cesarean Scar Pregnancy, Placenta Percreta, and Uterine Rupture: A Case Report and Comprehensive Review of the Literature
title_full The Rising Triad of Cesarean Scar Pregnancy, Placenta Percreta, and Uterine Rupture: A Case Report and Comprehensive Review of the Literature
title_fullStr The Rising Triad of Cesarean Scar Pregnancy, Placenta Percreta, and Uterine Rupture: A Case Report and Comprehensive Review of the Literature
title_full_unstemmed The Rising Triad of Cesarean Scar Pregnancy, Placenta Percreta, and Uterine Rupture: A Case Report and Comprehensive Review of the Literature
title_short The Rising Triad of Cesarean Scar Pregnancy, Placenta Percreta, and Uterine Rupture: A Case Report and Comprehensive Review of the Literature
title_sort rising triad of cesarean scar pregnancy placenta percreta and uterine rupture a case report and comprehensive review of the literature
url http://dx.doi.org/10.1155/2018/8797643
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