Department of Gynecology, The First People's Hospital of Foshan, Foshan, People's Republic of China.
J Obstet Gynaecol Res. 2022 Jan;48(1):251-255. doi: 10.1111/jog.15072. Epub 2021 Oct 16.
Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy, which is a long-term complication of cesarean section. Prompt and accurate diagnosis of CSP is important to decrease maternal mobility and mortality. However, it is difficult to make an early detection for CSP complicated with morbidly adherent placenta. Contrast-enhanced ultrasound with the advantage in blood flow imaging is low-cost, time-saving, safe and more accessible in clinical practice. Here, we report a case with early detection of CSP with placenta increta by contrast-enhanced ultrasound and its successful uterine-sparing surgical management.
剖宫产瘢痕妊娠（CSP）是一种罕见的异位妊娠形式，是剖宫产的长期并发症。及时准确地诊断 CSP 对于降低产妇的活动性和死亡率非常重要。然而，对于合并严重粘连性胎盘的 CSP，早期检测较为困难。增强超声具有血流成像的优势，在临床实践中具有成本低、耗时少、安全、更易获得等优点。在此，我们报告了一例通过增强超声早期检测到胎盘植入性 CSP 并成功保留子宫的手术治疗病例。
