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Management of cesarean scar pregnancy with suction curettage: a report of four cases and review of the literature

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Abstract

Purpose

To present the outcomes of four cases of cesarean scar pregnancy treated with suction curettage.

Methods

Four patients were ultrasonographically diagnosed with cesarean scar pregnancies treated with suction curettage in a tertiary care center.

Results

Serum β-human chorionic gonadotropin levels ranged between 1,681 and 15,573 mU/mL, gestational sac diameter measured from 10 to 24 mm and scar thickness was between 4.7 and 6.8 mm. All patients underwent suction curettage under general anesthesia with transabdominal ultrasonography guidance. No complications were observed during or after operation.

Conclusion

Suction curettage is a viable alternative for conservative treatment in selected cases of patients who are diagnosed with CSP early in gestation and who have a myometrial thickness of more than 4.5 mm.

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References

  1. Rotas MA, Haberman S, Levgur M (2006) Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol 107:1373–1381

    Article  PubMed  Google Scholar 

  2. Jurkovic D, Hillaby K, Woelfer B, Lawrence A, Salim R, Elson CJ (2003) First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment cesarean section scar. Ultrasound Obstet Gynecol 21:220–227

    Article  CAS  PubMed  Google Scholar 

  3. Fylstra DL (2002) Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv 57:537–543

    Article  PubMed  Google Scholar 

  4. Larsen JV, Solomon MH (1978) Pregnancy in a uterine scar sacculus-an unusual cause of postabortal haemorrhage. A case report. S Afr Med J 28:123–142

    Google Scholar 

  5. Timor-Tritsch IE, Monteagudo A, Santos R, Tsymbal T, Pineda G, Arslan AA (2012) The diagnosis, treatment, and follow-up of cesarean scar pregnancy. Am J Obstet Gynecol 207:44.e1–44.e13

    Article  Google Scholar 

  6. Arslan M, Pata O, Dilek TU, Aktas A, Aban M, Dilek S (2005) Treatment of viable cesarean scar ectopic pregnancy with suction curettage. Int J Gynaecol Obstet 89:163–166

    Article  CAS  PubMed  Google Scholar 

  7. Nonaka M, Toyoki H, Imai A (2006) Cesarean section scar pregnancy may be the cause of serious hemorrhage after first-trimester abortion by dilatation and curettage. Int J Gynaecol Obstet 95:50–51

    Article  CAS  PubMed  Google Scholar 

  8. Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL, Hwang JL (2004) Cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynaecol 23:247–253

    Article  Google Scholar 

  9. Polat I, Alkis I, Sahbaz A, Sahin O, Ekiz A, Gulac B, Tekirdag AI (2012) Diagnosis and management of cesarean scar pregnancy. Clin Exp Obstet Gynecol 39:365–368

    CAS  PubMed  Google Scholar 

  10. Wang CB, Tseng CJ (2006) Primary evacuation therapy for cesarean scar pregnancy: three new cases and review. Ultrasound Obstet Gynecol 27:222–226

    Article  PubMed  Google Scholar 

  11. Ash A, Smith A, Maxwell D (2007) Caesarean scar pregnancy. BJOG 114:253–263

    Article  CAS  PubMed  Google Scholar 

  12. Jiang T, Liu G, Huang L, Ma H, Zhang S (2011) Methotrexate therapy followed by suction curettage followed by Foley tamponade for caesarean scar pregnancy. Eur J Obstet Gynecol Reprod Biol 156:209–211

    Article  CAS  PubMed  Google Scholar 

  13. Fahg A, Chen Q, Qian Z, Li Q, Meng Y (2009) Correlation questions clinical discussion of uterine artery embolization in induced abortion patients with management of cesarean scar pregnancy. J Reprod Contra 20:153–160

    Article  Google Scholar 

  14. Yin X, Su S, Dong B, Ban Y, Li C, Sun B (2012) Angiographic uterine artery chemoembolization followed by vacuum aspiration: an efficient and safe treatment for managing complicated cesarean scar pregnancy. Arch Gynecol Obstet 285:1313–1318

    Article  CAS  PubMed  Google Scholar 

  15. Yang XY, Yu H, Li KM, Chu YX, Zheng A (2010) Uterine artery embolisation combined with local methotrexate for treatment of caesarean scar pregnancy. BJOG 117:990–996

    Article  CAS  PubMed  Google Scholar 

  16. Zhang Y, Gu Y, Wang JM, Yi L (2013) Analysis of cases with cesarean scar pregnancy. J Obstet Gynaecol Res. 39:195–202

    Article  CAS  PubMed  Google Scholar 

  17. Lan W, Hu D, Li Z, Wang L, Yang W, Hu S (2013) Bilateral uterine artery chemoembolization combined with dilation and curettage for treatment of cesarean scar pregnancy: a method for preserving the uterus. J Obstet Gynaecol Res. 39:1153–1158

    Article  PubMed  Google Scholar 

  18. Ghezzi F, Laganà D, Franchi M, Fugazzola C, Bolis P (2002) Conservative treatment by chemotherapy and uterine arteries embolization of a cesarean scar pregnancy. Eur J Obstet Gynecol Reprod Biol 103:88–91

    Article  PubMed  Google Scholar 

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Authors state that there is no competing interest or financial disclosure for this manuscript.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, School of Medicine, Recep Tayyip Erdoğan University, İslampaşa Mah, 53200, Rize, Turkey

    Yeşim Bayoglu Tekin, Ulku Mete Ural, Gulşah Balık, Isık Ustuner, Figen Kır Şahin & Emine Seda Güvendağ Güven

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  1. Yeşim Bayoglu Tekin
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  2. Ulku Mete Ural
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  3. Gulşah Balık
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  4. Isık Ustuner
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  5. Figen Kır Şahin
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  6. Emine Seda Güvendağ Güven
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Correspondence to Yeşim Bayoglu Tekin.

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Bayoglu Tekin, Y., Mete Ural, U., Balık, G. et al. Management of cesarean scar pregnancy with suction curettage: a report of four cases and review of the literature. Arch Gynecol Obstet 289, 1171–1175 (2014). https://doi.org/10.1007/s00404-014-3143-6

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  • DOI: https://doi.org/10.1007/s00404-014-3143-6

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