Cesarean Scar Pregnancy and Successful Ultrasound-Guided Removal after Uterine Artery Ligation
A correct management of cesarean scar pregnancy (CSP) is mandatory to avoid further complications. There is no consensus for the standard therapy and the most frequent methods used are not free from failures and sequelae. A 38-year-old woman was admitted referring amenorrhea lasting 9 weeks, pelvic...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2023/6026206 |
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| author | Vito Leanza Giosuè Giordano Incognito Ferdinando Antonio Gulino Attilio Tuscano Monia Cimino Marco Palumbo |
| author_facet | Vito Leanza Giosuè Giordano Incognito Ferdinando Antonio Gulino Attilio Tuscano Monia Cimino Marco Palumbo |
| author_sort | Vito Leanza |
| collection | DOAJ |
| description | A correct management of cesarean scar pregnancy (CSP) is mandatory to avoid further complications. There is no consensus for the standard therapy and the most frequent methods used are not free from failures and sequelae. A 38-year-old woman was admitted referring amenorrhea lasting 9 weeks, pelvic pain, and vaginal bleeding. She had three previous cesarean sections. Transvaginal ultrasound showed a gestational sac of 16 mm in the cervico-isthmic site and inside the thickness of the uterine wall, and the dosage of beta-human chorionic gonadotropin was 12,770 mU/mL. A diagnosis of CSP was done, and an ultrasound-guided removal after uterine artery cervical branch ligation was performed. The follow-up was uneventful. Even if not yet codified in the literature, our therapeutic procedure should be considered in other similar cases in the future, as it potentially limits the possible iatrogenic problems and reduces intraoperative and postoperative bleeding to a minimum. |
| format | Article |
| id | doaj-art-66f9dc403063483786c49156780ae90b |
| institution | Kabale University |
| issn | 2090-6692 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-66f9dc403063483786c49156780ae90b2025-02-03T01:30:23ZengWileyCase Reports in Obstetrics and Gynecology2090-66922023-01-01202310.1155/2023/6026206Cesarean Scar Pregnancy and Successful Ultrasound-Guided Removal after Uterine Artery LigationVito Leanza0Giosuè Giordano Incognito1Ferdinando Antonio Gulino2Attilio Tuscano3Monia Cimino4Marco Palumbo5Department of General Surgery and Medical Surgical SpecialtiesDepartment of General Surgery and Medical Surgical SpecialtiesDepartment of Obstetrics and GynaecologyDepartment of General Surgery and Medical Surgical SpecialtiesDepartment of General Surgery and Medical Surgical SpecialtiesDepartment of General Surgery and Medical Surgical SpecialtiesA correct management of cesarean scar pregnancy (CSP) is mandatory to avoid further complications. There is no consensus for the standard therapy and the most frequent methods used are not free from failures and sequelae. A 38-year-old woman was admitted referring amenorrhea lasting 9 weeks, pelvic pain, and vaginal bleeding. She had three previous cesarean sections. Transvaginal ultrasound showed a gestational sac of 16 mm in the cervico-isthmic site and inside the thickness of the uterine wall, and the dosage of beta-human chorionic gonadotropin was 12,770 mU/mL. A diagnosis of CSP was done, and an ultrasound-guided removal after uterine artery cervical branch ligation was performed. The follow-up was uneventful. Even if not yet codified in the literature, our therapeutic procedure should be considered in other similar cases in the future, as it potentially limits the possible iatrogenic problems and reduces intraoperative and postoperative bleeding to a minimum.http://dx.doi.org/10.1155/2023/6026206 |
| spellingShingle | Vito Leanza Giosuè Giordano Incognito Ferdinando Antonio Gulino Attilio Tuscano Monia Cimino Marco Palumbo Cesarean Scar Pregnancy and Successful Ultrasound-Guided Removal after Uterine Artery Ligation Case Reports in Obstetrics and Gynecology |
| title | Cesarean Scar Pregnancy and Successful Ultrasound-Guided Removal after Uterine Artery Ligation |
| title_full | Cesarean Scar Pregnancy and Successful Ultrasound-Guided Removal after Uterine Artery Ligation |
| title_fullStr | Cesarean Scar Pregnancy and Successful Ultrasound-Guided Removal after Uterine Artery Ligation |
| title_full_unstemmed | Cesarean Scar Pregnancy and Successful Ultrasound-Guided Removal after Uterine Artery Ligation |
| title_short | Cesarean Scar Pregnancy and Successful Ultrasound-Guided Removal after Uterine Artery Ligation |
| title_sort | cesarean scar pregnancy and successful ultrasound guided removal after uterine artery ligation |
| url | http://dx.doi.org/10.1155/2023/6026206 |
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