Abstract
Article: Cesarean Scar Pregnancy: A Case Series of Diagnosis, Treatment, and Results
Authors: Grace Younes, MD, Yael Goldberg, MD, Ofer Lavie, MD, Reuven Kedar, MD, and Yakir Segev, MD, MSc
Category: OB/GYN [OB]
Credit: 0.75 SDMS CME Credit
Objectives: After studying the article entitled “Cesarean Scar Pregnancy: A Case Series of Diagnosis, Treatment, and Results,” you will be able to:
Describe the evolution of diagnosis, treat-ment modalities, and outcome of cesarean scar pregnancies
Knowledge of primary treatment success significantly correlates with degree of vascularity, type of CSP, and beta hCG levels
Understand the measures of extreme caution in cases of type 2 cesarean scar pregnancy with high vascularity and high beta hCG levels
Why has the rate of cesarean scar pregnancies increased in recent years? Greater knowledge of ectopic locations by sonographers Increase in sexually transmitted infections and pelvic inflammatory disease Transvaginal sonography always being performed in the first trimester Increase in number of cesarean section deliveries and improved diagnosis with sonography
What is a type of cesarean scar pregnancy that invades deep into the scar defect and progresses toward the bladder with possible protrusion into the abdominal cavity? Exogenic Ampullary Endogenic Percreta
What percentage of the time was the primary treatment successful in this study? 45% 60% 75% 90%
Which combined three factors were related to a worse prognosis? Higher beta hCG levels, type I CSP, and low vascularity Higher beta hCG levels, type II CSP, and severe vascularity Lower beta hCG levels, type I CSP, and severe vascularity Lower beta hCG levels, type II CSP, and medium vascularity
What is the optimal treatment for cesarean scar pregnancy? Dilatation and curettage Uterine resection Direct methotrexate injection Optimal treatment is inconclusive
Footnotes