Fowler Mary Louise, Little Sarah, Muto Michael, Mahalingaiah Shruthi
Department of Obstetrics and Gynecology, Boston Medical Center, 85 East Concord Street, 6th Floor, Boston, MA, 02118, USA.
Department of Maternal Fetal Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Fertil Res Pract. 2021 Apr 23;7(1):10. doi: 10.1186/s40738-021-00103-9.
This article reports a unique case of cesarean scar pregnancy, demonstrating importance of early management and diagnosis.
A 30-year-old pregnant woman with prior history of two cesarean sections found to have cesarean scar pregnancy at approximately 13 weeks' gestation and underwent a gravid hysterectomy.
While rare, cesarean scar pregnancies should be considered on the differential diagnosis of any pregnant patient with history of cesarean section who presents in early pregnancy with vaginal bleeding and/or cramping. Given the increased rates of cesarean sections in the times of COVID-19, one may anticipate seeing more cases of cesarean scar pregnancies.
本文报告了一例罕见的剖宫产瘢痕妊娠病例,强调了早期诊断和治疗的重要性。
一名30岁孕妇,既往有两次剖宫产史,孕13周左右被诊断为剖宫产瘢痕妊娠,随后接受了妊娠子宫切除术。
虽然剖宫产瘢痕妊娠较为罕见,但对于有剖宫产史且孕早期出现阴道出血和/或腹痛的孕妇,应考虑此病。鉴于COVID-19期间剖宫产率上升,预计会出现更多剖宫产瘢痕妊娠病例。