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Diagnosis, management and prognosis of cesarean scar pregnancy; case report

Year 2015, Volume: 46 Issue: 4, 106 - 108, 02.01.2016
https://doi.org/10.16948/zktb.33034

Abstract

Introduction: Increasing rate of ceseraen delivery causes increasing rate in the complications of this procedure. One of the complications of cesarean section is cesarean scar pregnancy (CSP), which is a life threatining condition if not diagnosed early.

Case: 34 year old multiparous women with CSP with favorable outcome by surgical excision of the gestational sac was presented.

Conclusion: CSP may be a life threatining condition and management by fertility preserving procedures is feasible with the early diagnosis. 

References

  • Fylstra DL. Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv. 2002 Aug;57(8):537-43.
  • Hong SC, Lau MS, Yam PK. Ectopic pregnancy in previous Cesarean section scar Singapore Med J. 2011 Jun;52(6):e115-7.
  • Seow KM, Huang LW, Lin YH et al. Cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol. 2004 Mar;23(3):247-53.
  • Maymon R, Halperin R, Mendlovic S, Schneider D, Herman A. Ectopic pregnancies in a Cesarean scar: review of the medical approach to an iatrogenic complication. Hum Reprod Update. 2004 Nov-Dec;10(6):515-23.
  • Wang CJ, Chao AS, Yuen LT, Wang CW, Soong YK, Lee CL. Endoscopic management of cesarean scar pregnancy. Fertil Steril. 2006 Feb;85(2):494.e1-4.
  • Litwicka K, Greco E. Cesarean scar pregnancy: a review of management options. Curr Opin Obstet Gynecol. 2011 Dec;23(6):415-21. Review.
  • Karakuş S, Yıldız Ç, Akkar ÖB, Çetin M. Sezaryen skar gebeliği; iki olgu nedeniyle. Cumhuriyet Med J 2014; 36:558-561
  • Sinha P, Mishra M. Cesarean scar pregnancy: a precursor of placenta percreta/accreta. J Obstet Gynaecol. 2012 Oct;32(7):621-3.
  • Hasegawa J, Ichizuka K, Matsuoka R, Otsuki K, Sekizawa A, Okai T. Limitations of conservative treatment for repeat Cesarean scar pregnancy. Ultrasound Obstet Gynecol. 2005 Mar;25(3):310-1.

Sezaryen skar gebeliğinde tanı, yönetim ve prognoz; vaka sunumu

Year 2015, Volume: 46 Issue: 4, 106 - 108, 02.01.2016
https://doi.org/10.16948/zktb.33034

Abstract

Giriş: Artan sezaryen oranlarıyla birlikte sezaryene bağlı gelişen komplikasyonlarda da artış olmaktadır. Sezaryen komplikasyonlarından biri olan sezaryen skar gebeliği de erken tanı konmadığında ölümle sonuçlanabilmektedir.

Olgu: 34 yaşında sezaryen skar gebeliği tanısı koyulan bir hastada, gestasyonel kesenin eksize edilerek tedavi edildiği bir olguyu sunmak istiyoruz.

Sonuç: Sezaryen skar gebeliği tanı konulmadığında yüksek mortalite oranına sahiptir. Erken tanı ile fertilite koruyucu girişimler yapılarak başarıyla tedavi edilebilmektedir. 

References

  • Fylstra DL. Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv. 2002 Aug;57(8):537-43.
  • Hong SC, Lau MS, Yam PK. Ectopic pregnancy in previous Cesarean section scar Singapore Med J. 2011 Jun;52(6):e115-7.
  • Seow KM, Huang LW, Lin YH et al. Cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol. 2004 Mar;23(3):247-53.
  • Maymon R, Halperin R, Mendlovic S, Schneider D, Herman A. Ectopic pregnancies in a Cesarean scar: review of the medical approach to an iatrogenic complication. Hum Reprod Update. 2004 Nov-Dec;10(6):515-23.
  • Wang CJ, Chao AS, Yuen LT, Wang CW, Soong YK, Lee CL. Endoscopic management of cesarean scar pregnancy. Fertil Steril. 2006 Feb;85(2):494.e1-4.
  • Litwicka K, Greco E. Cesarean scar pregnancy: a review of management options. Curr Opin Obstet Gynecol. 2011 Dec;23(6):415-21. Review.
  • Karakuş S, Yıldız Ç, Akkar ÖB, Çetin M. Sezaryen skar gebeliği; iki olgu nedeniyle. Cumhuriyet Med J 2014; 36:558-561
  • Sinha P, Mishra M. Cesarean scar pregnancy: a precursor of placenta percreta/accreta. J Obstet Gynaecol. 2012 Oct;32(7):621-3.
  • Hasegawa J, Ichizuka K, Matsuoka R, Otsuki K, Sekizawa A, Okai T. Limitations of conservative treatment for repeat Cesarean scar pregnancy. Ultrasound Obstet Gynecol. 2005 Mar;25(3):310-1.
There are 9 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section OBSTETRICS AND GYNECOLOGY
Authors

Herman İşçi This is me

Gökçenur Gönenç

Nilgün Güdücü This is me

Alin Başgül Yiğiter This is me

İlkkan Dünder This is me

Publication Date January 2, 2016
Published in Issue Year 2015 Volume: 46 Issue: 4

Cite

APA İşçi, H., Gönenç, G., Güdücü, N., Başgül Yiğiter, A., et al. (2016). Diagnosis, management and prognosis of cesarean scar pregnancy; case report. Zeynep Kamil Tıp Bülteni, 46(4), 106-108. https://doi.org/10.16948/zktb.33034
AMA İşçi H, Gönenç G, Güdücü N, Başgül Yiğiter A, Dünder İ. Diagnosis, management and prognosis of cesarean scar pregnancy; case report. Zeynep Kamil Tıp Bülteni. January 2016;46(4):106-108. doi:10.16948/zktb.33034
Chicago İşçi, Herman, Gökçenur Gönenç, Nilgün Güdücü, Alin Başgül Yiğiter, and İlkkan Dünder. “Diagnosis, Management and Prognosis of Cesarean Scar Pregnancy; Case Report”. Zeynep Kamil Tıp Bülteni 46, no. 4 (January 2016): 106-8. https://doi.org/10.16948/zktb.33034.
EndNote İşçi H, Gönenç G, Güdücü N, Başgül Yiğiter A, Dünder İ (January 1, 2016) Diagnosis, management and prognosis of cesarean scar pregnancy; case report. Zeynep Kamil Tıp Bülteni 46 4 106–108.
IEEE H. İşçi, G. Gönenç, N. Güdücü, A. Başgül Yiğiter, and İ. Dünder, “Diagnosis, management and prognosis of cesarean scar pregnancy; case report”, Zeynep Kamil Tıp Bülteni, vol. 46, no. 4, pp. 106–108, 2016, doi: 10.16948/zktb.33034.
ISNAD İşçi, Herman et al. “Diagnosis, Management and Prognosis of Cesarean Scar Pregnancy; Case Report”. Zeynep Kamil Tıp Bülteni 46/4 (January 2016), 106-108. https://doi.org/10.16948/zktb.33034.
JAMA İşçi H, Gönenç G, Güdücü N, Başgül Yiğiter A, Dünder İ. Diagnosis, management and prognosis of cesarean scar pregnancy; case report. Zeynep Kamil Tıp Bülteni. 2016;46:106–108.
MLA İşçi, Herman et al. “Diagnosis, Management and Prognosis of Cesarean Scar Pregnancy; Case Report”. Zeynep Kamil Tıp Bülteni, vol. 46, no. 4, 2016, pp. 106-8, doi:10.16948/zktb.33034.
Vancouver İşçi H, Gönenç G, Güdücü N, Başgül Yiğiter A, Dünder İ. Diagnosis, management and prognosis of cesarean scar pregnancy; case report. Zeynep Kamil Tıp Bülteni. 2016;46(4):106-8.