Cesarean scar pregnancy: uterine artery embolization combined with a hysterectomy at
13 weeks’ gestation – a case report and review of the literature

Anna Kwaśniewska; Aleksandra Stupak; Arkadiusz Krzyżanowski; Radosław Pietura; Jan Kotarski

doi:10.17772/gp/1890

Vol 85, No 12 (2014)

ARTICLES

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Cesarean scar pregnancy: uterine artery embolization combined with a hysterectomy at 13 weeks’ gestation – a case report and review of the literature

Anna Kwaśniewska, Aleksandra Stupak, Arkadiusz Krzyżanowski, Radosław Pietura, Jan Kotarski

DOI: 10.17772/gp/1890

Ginekol Pol 2014;85(12).

Vol 85, No 12 (2014)

ARTICLES

Abstract

A cesarean scar pregnancy is a pregnancy located within the uterine muscle after previous cesarean sections. Recent years have shown a significant increase in the rate of CS and an improvement in the ultrasound diagnosis, and therefore a trend towards an increase in the rate of CSP cases has been reported in many countries. We report on a case of CSP diagnosed using ultrasound at 5/6 weeks’ gestation and confirmed by magnetic resonance imaging. The patient underwent surgical management at 13 weeks, combined with the chemioembolization of the uterine arteries. The current review aims to update the knowledge of the available treatment modalities.