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Seok, Moon, Chang, Lee, Jang, and Baek: Successful management of cesarean scar pregnancy at 13 weeks of gestation by uterine artery embolization: A case report
Case Report
Korean Journal of Obstetrics and Gynecology

Korean Journal of Obstetrics and Gynecology 2010; 53(10): 934-939.

Published online: 31 October 2010

DOI: https://doi.org/10.5468/kjog.2010.53.10.934

Successful management of cesarean scar pregnancy at 13 weeks of gestation by uterine artery embolization: A case report

Jun Min Seok, M.D., Myoung Jin Moon, M.D., Sung Woon Chang, M.D., Yu Mi Lee, M.D., Ji Hyon Jang, M.D., Min Jung Baek, M.D.

Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.

Corresponding author (goodgood75@naver.com)

Received 7 May 2010       Revised 28 July 2010       Accepted 31 August 2010

Copyright © 2010 Korean Society of Obstetrics and Gynecology

Abstract

Cesarean scar pregnancy, in which the pregnancy is implanted at the previous cesarean scar, is a very rare form of ectopic pregnancy. A delay in diagnosis can lead to uterine rupture, massive hemorrhage, and serious maternal morbidity. However, the optimal treatment is unknown. We experienced a case of viable cesarean scar pregnancy diagnosed at 13 weeks of gestation treated with uterine artery embolization and report with a brief of literatures.

Keywords: Cesarean scar pregnancy, Ectopic pregnancy, Uterine artery embolization

Figures and Tables

Fig. 1
(A) (B) Preprocedural transabdominal ultrasound shows a 13-weeks gestational sac with a fetus having heart beat implanted into a previous cesarean section scar. (C) (D) Preprocedural transvaginal ultrasound shows a discontinuity in the anterior uterine wall when running through the gestational sac.
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Fig. 2
Preprocedural sagittal T2-weighted MRI shows a 10 cm sized gestational sac and fetus with 7.2 cm sized CRL, implanted into a previous cesarean section scar. MRI: magnetic resonance imaging, CRL: crownrump length.
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Fig. 3
(A) After 11 days, transabdominal ultrasound shows decreased gestational sac to 4.5×6.5 cm without fetal heart beat. (B) 4 month later, transvaginal ultrasound shows hypoechoic defect at the previous cesarean section site, there is no another abnormal lesion.
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