Shafqat Gulnaz, Khandwala Kumail, Iqbal Hina, Afzal Shaista
Department of Radiology, The Aga Khan University, Karachi.
Department of Radiology, The Aga Khan University Hospital, Karachi.
Cureus. 2018 Feb 1;10(2):e2133. doi: 10.7759/cureus.2133.
Cesarean scar pregnancy (CSP), often considered the rarest form of ectopic pregnancy, is a result of implantation of the gestational sac into the fibrous tissue scar of a previous cesarean section. With an increase in the rate of cesarean sections, along with better awareness and improvement in sonographic diagnosis, the number and detection of scar pregnancies are on the rise. Because of its early invasion of the myometrium, usually in the first trimester, CSP is considered to be potentially lethal, leading to high risks of uterine rupture. We report a series of three cases of scar pregnancy that presented at different gestational ages and were managed by different methods. The aim of this case series is to share our experience with CSP, review previous literature, and emphasize on the radiological criteria to making a confident diagnosis. Diagnosis and management of CSP needs considerable expertise and a multidisciplinary approach to prevent complications.
剖宫产瘢痕妊娠（CSP）通常被认为是最罕见的异位妊娠形式，是妊娠囊植入既往剖宫产纤维组织瘢痕的结果。随着剖宫产率的上升，以及超声诊断意识的提高和技术改进，瘢痕妊娠的数量及检出率均在增加。由于其通常在孕早期就侵犯子宫肌层，CSP被认为具有潜在致命性，会导致子宫破裂的高风险。我们报告了3例不同孕周出现的瘢痕妊娠病例，并采用了不同的治疗方法。本病例系列的目的是分享我们处理CSP的经验，回顾既往文献，并强调做出可靠诊断的影像学标准。CSP的诊断和处理需要相当的专业知识以及多学科方法以预防并发症。
