PDF herunterladen
Open Access
CC BY 4.0 · Rev Bras Ginecol Obstet 2021; 43(04): 311-316
DOI: 10.1055/s-0041-1728781
Case Report

A Scary Complication: Single-center Study on Management and Outcome of Cesarean Scar Pregnancy

Autoren

  • Beate Hüner 

    1   Department of Obstetrics and Gynecology, Ulm University, Ulm, Germany

  • Krisztian Lato 

    1   Department of Obstetrics and Gynecology, Ulm University, Ulm, Germany

  • Frank Reister 

    1   Department of Obstetrics and Gynecology, Ulm University, Ulm, Germany

  • Wolfgang Janni 

    1   Department of Obstetrics and Gynecology, Ulm University, Ulm, Germany

  • Miriam Deniz 

    1   Department of Obstetrics and Gynecology, Ulm University, Ulm, Germany
Weitere Informationen
  Lizenzen und Reprints

Abstract

A cesarean scar pregnancy (CSP) is a scary and life-threatening complication of cesarean section (CS). Nevertheless, the incidence of CS is constantly growing. The CSP incidence is 0,15% of pregnancies after CS which represents 6,1% of all ectopic pregnancies in women with condition after CS. Therefore, it should be more present in the clinical daily routine. From mild nonspecific symptoms to hypovolemic shock, diagnosis and therapy must be performed quickly. With the progressive growth of the scar pregnancy, a uterine rupture involves the risk of severe bleeding, and an emergency hysterectomy could be necessary. Prolongation of pregnancy has been successful only in a few cases. We report 11 cases from our hospital in the past 10 years. In the discussion, treatment options of this complication with an increasing incidence, which is associated with serious morbidity and mortality, are presented based on the current literature. Treatment options include drug therapy, but also surgical or combined procedures with radiological intervention.

Keywords

scar pregnancy - therapy scar pregnancy - ectopic pregnancies - cesarean section - hysterectomy


Publikationsverlauf

Eingereicht: 22. August 2020

Angenommen: 06. Januar 2021

Artikel online veröffentlicht:
12. Mai 2021

© 2021. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil