Cesarean scar pregnancy: A tertiary center case series and literature review Sezaryen skar gebeliği: Bir tersiyer merkez olgu serisi ve literatür İncelemesi


Turgut A. , Özler A., Goruk N. Y. , Tunç S. Y. , Başaranoğlu S., Yalìnkaya A.

Duzce Medical Journal, cilt.17, ss.62-65, 2015 (Diğer Kurumların Hakemli Dergileri) identifier

  • Cilt numarası: 17 Konu: 2
  • Basım Tarihi: 2015
  • Dergi Adı: Duzce Medical Journal
  • Sayfa Sayıları: ss.62-65

Özet

© 2012 Düzce Medical Journal.Aim: To examine the characteristics, management and outcomes of cesarean scar pregnancies at a single tertiary obstetric centre over a three-year period. Method: A retrospective study was performed on 8 cases of cesarean scar pregnancy identified between January 2009 and June 2012 from the medical files. Results: The mean gestational age was 58.2 days (35-120). The average time for β-hCG levels to return to normal values after treatment for cesarean scar pregnancy was 3.4 weeks (2-6). The mean number of previous cesarean sections was 1.9 (1-4) and the mean interval time after the last cesarean section was 20 months (10-48). Laparotomy with excision of the sac and primary repair (n=5) and methotrexate (n=3) were the modalities of management. Conclusion: Cesarean scar pregnancy is a potentially life-threatening complication of pregnancy that constitutes a diagnostic and therapeutic challenge. Decision on treatment modality should be determined on individualized basis depending on factors such as gestational age, β-hCG levels, fetal cardiac activity, desire of future fertility and the experience and facilities available. Key words: Cesarean scar; complication; cesarean scar pregnancy; ectopic pregnancy.