Case Report and Review
Primary evacuation therapy for Cesarean scar pregnancy: three new cases and review
Article first published online: 1 DEC 2005
Copyright © 2005 ISUOG. Published by John Wiley & Sons, Ltd.
Ultrasound in Obstetrics & Gynecology
Volume 27, Issue 2, pages 222–226, February 2006
How to Cite
Wang, C.-B. and Tseng, C.-J. (2006), Primary evacuation therapy for Cesarean scar pregnancy: three new cases and review. Ultrasound Obstet Gynecol, 27: 222–226. doi: 10.1002/uog.2644
- Issue published online: 24 JAN 2006
- Article first published online: 1 DEC 2005
- Manuscript Accepted: 29 JUN 2005
- Cesarean scar pregnancy;
- deep implantation;
- primary evacuation treatment;
- transvaginal sonography
We report three cases of first-trimester Cesarean scar pregnancy (CSP) treated with evacuation therapy. In one patient with a gestational age of 7 weeks and with deep sac implantation, there was massive uterine bleeding and uterine perforation following evacuation. The other two patients, both with a pregnancy < 7 weeks and with intrauterine gestational sacs, were successfully treated with surgical evacuation without complications. A MEDLINE search revealed 11 cases that fulfilled our criteria of a certain diagnosis of scar pregnancy and with evacuation as the primary treatment. The outcome of these 11 cases and that of our three new cases suggests that the combination of a gestational sac size corresponding to a gestational age ≥ 7 weeks, coupled with a deep implantation, portend an unsatisfactory outcome of surgical evacuation as a means of treating CSP. Copyright © 2005 ISUOG. Published by John Wiley & Sons, Ltd.