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Cesarean Scar Ectopic
Karen Y. Oh, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Pregnancy developing within cesarean section scar
                • C-section scar pregnancy considered more appropriate terminology than C-section scar ectopic

              IMAGING

              • General Features

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • Gross Pathologic & Surgical Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Image Interpretation Pearls

                                Selected References

                                1. Cok T et al: Transvaginal ultrasound-guided local methotrexate administration as the first-line treatment for cesarean scar pregnancy: Follow-up of 18 cases. J Obstet Gynaecol Res. 41(5):803-8, 2015
                                2. Fabrega-Foster K et al: Cesarean Delivery Scar Pregnancy: A Case Report and Brief Literature Review. Ultrasound Q. 31(3):195-7, 2015
                                3. Timor-Tritsch IE et al: Cesarean scar pregnancies: experience of 60 cases. J Ultrasound Med. 34(4):601-10, 2015
                                4. Timor-Tritsch IE et al: Cesarean scar pregnancy is a precursor of morbidly adherent placenta. Ultrasound Obstet Gynecol. 44(3):346-53, 2014
                                5. Yamaguchi M et al: Transvaginal methotrexate injection for the treatment of cesarean scar pregnancy: efficacy and subsequent fecundity. J Minim Invasive Gynecol. 21(5):877-83, 2014
                                6. Osborn DA et al: Cesarean scar pregnancy: sonographic and magnetic resonance imaging findings, complications, and treatment. J Ultrasound Med. 31(9):1449-56, 2012
                                7. Timor-Tritsch IE et al: Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review. Am J Obstet Gynecol. 207(1):14-29, 2012
                                8. Timor-Tritsch IE et al: The diagnosis, treatment, and follow-up of cesarean scar pregnancy. Am J Obstet Gynecol. 207(1):44.e1-13, 2012
                                9. Colomé C et al: Conservative treatment by endoscopy of a cesarean scar pregnancy: two case reports. Clin Exp Obstet Gynecol. 36(2):126-9, 2009
                                10. Rotas MA et al: Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol. 107(6):1373-81, 2006
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Pathology

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Definitions

                                              • Pregnancy developing within cesarean section scar
                                              • C-section scar pregnancy considered more appropriate terminology than C-section scar ectopic

                                            IMAGING

                                            • General Features

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • Gross Pathologic & Surgical Features

                                                    CLINICAL ISSUES

                                                    • Presentation

                                                      • Demographics

                                                        • Natural History & Prognosis

                                                          • Treatment

                                                            DIAGNOSTIC CHECKLIST

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Cok T et al: Transvaginal ultrasound-guided local methotrexate administration as the first-line treatment for cesarean scar pregnancy: Follow-up of 18 cases. J Obstet Gynaecol Res. 41(5):803-8, 2015
                                                              2. Fabrega-Foster K et al: Cesarean Delivery Scar Pregnancy: A Case Report and Brief Literature Review. Ultrasound Q. 31(3):195-7, 2015
                                                              3. Timor-Tritsch IE et al: Cesarean scar pregnancies: experience of 60 cases. J Ultrasound Med. 34(4):601-10, 2015
                                                              4. Timor-Tritsch IE et al: Cesarean scar pregnancy is a precursor of morbidly adherent placenta. Ultrasound Obstet Gynecol. 44(3):346-53, 2014
                                                              5. Yamaguchi M et al: Transvaginal methotrexate injection for the treatment of cesarean scar pregnancy: efficacy and subsequent fecundity. J Minim Invasive Gynecol. 21(5):877-83, 2014
                                                              6. Osborn DA et al: Cesarean scar pregnancy: sonographic and magnetic resonance imaging findings, complications, and treatment. J Ultrasound Med. 31(9):1449-56, 2012
                                                              7. Timor-Tritsch IE et al: Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review. Am J Obstet Gynecol. 207(1):14-29, 2012
                                                              8. Timor-Tritsch IE et al: The diagnosis, treatment, and follow-up of cesarean scar pregnancy. Am J Obstet Gynecol. 207(1):44.e1-13, 2012
                                                              9. Colomé C et al: Conservative treatment by endoscopy of a cesarean scar pregnancy: two case reports. Clin Exp Obstet Gynecol. 36(2):126-9, 2009
                                                              10. Rotas MA et al: Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol. 107(6):1373-81, 2006