IDEAS home Printed from https://ideas.repec.org/a/adp/jgjorm/v3y2017i1p10-14.html
   My bibliography  Save this article

Clinical Dilemmas and Risks of Misdiagnosis and Mismanagement Associated with Endogenous Caesarean Scar Pregnancy: A Case Series and Literature Review

Author

Listed:
  • Paterson K
  • Odejinmi F
  • Shahid A

    (Bart’s Health NHS Trust, Whipps Cross University Hospital, London)

Abstract

A caesarean scar pregnancy (CSP) is a pregnancy that implants into the myometrium at the site of a previous uterine incision. In this paper, we present three cases of women affected by caesarean scar implantations. Each case presented differently and was managed in separate ways. We describe their differing presentations and care as well as reflecting on how such women may be better cared for. Endogenic CSPs grow into the uterine cavity and can easily be mistaken for a normal pregnancy implantation. Differentiation can often only be seen at early gestations. All women with a previous uterine scar should potentially be offered early trans-vaginal ultrasound to correctly diagnose the implantation site. However, in many women, the diagnosis is not suspected until a complication arises. We advocate for there to be a higher index of suspicion for CSPs during early pregnancy ultrasound and that all practitioners performing such scans should be trained to allow a confident diagnosis of CSP.

Suggested Citation

  • Paterson K & Odejinmi F & Shahid A, 2017. "Clinical Dilemmas and Risks of Misdiagnosis and Mismanagement Associated with Endogenous Caesarean Scar Pregnancy: A Case Series and Literature Review," Global Journal of Reproductive Medicine, Juniper Publishers Inc., vol. 3(1), pages 10-14, December.
  • Handle: RePEc:adp:jgjorm:v:3:y:2017:i:1:p:10-14
    DOI: 10.19080/GJORM.2017.03.555602
    as

    Download full text from publisher

    File URL: https://juniperpublishers.com/gjorm/pdf/GJORM.MS.ID.555602.pdf
    Download Restriction: no

    File URL: https://juniperpublishers.com/gjorm/GJORM.MS.ID.555602.php
    Download Restriction: no

    File URL: https://libkey.io/10.19080/GJORM.2017.03.555602?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:adp:jgjorm:v:3:y:2017:i:1:p:10-14. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Robert Thomas (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.