engleski

CESAREAN SCAR PREGNANCY, THE TREATS OF THE FUTURE: THE DIAGNOSIS, TREATMENT AND FOLLOW-UP OF. CASE REPORTS.

Cesarean scar pregnancy (CSP) is a rare condition that occurs when the pregnancy implants in a Cesarean scar. Implantation of a pregnancy within a Caesarean fibrous tissue scar is considered to be the rarest form of ectopic pregnancy and a life- threatening condition. The incidence of CSP has been estimated to range from 1/1800–1/2500 of all Cesarean delivery (CD) performed. The diagnosis and treatment of CSP is challenging. An early diagnosis and a proper management are fundamental to prevent maternal complications. The trend toward an increasing rate of CD is reported worldwide. A previous CD increases the risk for a pathologically adherent placenta (accreta, increta, and percreta) and the magnitude of risk increases with each additional CD. Similar risks were reported for CSP. A particular complication of a pregnancy after CD is the implantation of the gestational sac in the hysterotomy scar, known as a “cesarean scar pregnancy” (CSP). The diagnosis is often difficult, and a false-negative diagnosis may result in major complications, including a hysterectomy. The diagnosis is based on finding a gestational sac at the site of the previous CD in the presence of an empty uterine cavity and cervix, as well as a thin myometrium adjacent to the bladder. Different diagnostic, radiological imaging methods, and management options have been proposed. The optimal management remains to be determined. If the patient presents with a uterine rupture or major bleeding, surgery is unavoidable. Management of diagnosed but stable patients represents a challenge. The follow- up of the patients is described. The objective of this paper was to evaluate the diagnostic method, treatments, and long-term follow-up of CSP.

cesarean scar pregnancy, cesarean section, pregnancy, diagnosis, treatment

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