Docheva Nikolina, Slutsky Emily D, Borella Nicolette, Mason Renee, Van Hook James W, Seo-Patel Sonyoung
Department of Obstetrics and Gynecology, University of Toledo, Toledo, Ohio, USA.
Mercyhurst University, Department of Biology, Eerie, Pennsylvania, USA.
Case Rep Obstet Gynecol. 2018 Jun 7;2018:8797643. doi: 10.1155/2018/8797643. eCollection 2018.
As the rate of cesarean sections continues to rapidly rise, knowledge of diagnosis and management of cesarean scar pregnancies (CSPs) is becoming increasingly more relevant. CSPs rest on the continuum of placental abnormalities which include morbidly adherent placenta (accreta, increta, and percreta). A CSP poses a clinical challenge which may have significant fetal and maternal morbidity. At this point, no clear management guidelines and recommendations exist. we describe the case of a second trimester CSP with rapid diagnosis and management in a tertiary care center. The case underscores the need for well-coordinated mobilization of resources and a multidisciplinary approach. A review of the literature is performed and deficits in universal management principles are underscored.
随着剖宫产率持续快速上升，剖宫产瘢痕妊娠（CSP）的诊断和管理知识变得越来越重要。CSP属于胎盘异常的范畴，其中包括胎盘植入（粘连性胎盘、植入性胎盘和穿透性胎盘）。CSP带来了临床挑战，可能导致严重的母婴并发症。目前，尚无明确的管理指南和建议。我们描述了在一家三级医疗中心对一例孕中期CSP进行快速诊断和管理的病例。该病例强调了资源协调调动和多学科方法的必要性。我们对文献进行了综述，并强调了通用管理原则中的不足之处。
