Cesarean scar pregnancy: role of serial transabdominal ultrasonography in the diagnosis and treatment response following dilation and curettage

Yükleniyor...
Küçük Resim

Tarih

2016

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Soc Romana Ultrasonografe Medicina Biologie-Srumb

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

To the Editor, It was with great interest that we read the paper by Elito Júnior et al [1] and the related papers regarding cesarean scar pregnancy (CSP) in Medical Ultrasonography. CSP is an extremily rare type of ectopic pregnancy which may result with uterine rupture or life-threatening hemorrhage if diagnosed at later stages. Moreover, these potential complications may lead hysterectomy and cause dramatic consequences for future reproductive capacity. The treatments for CSP include regular dilation and curettage (D&C) alone, methotrexate (MTX) alone or in conjunction with bilateral uterus artery embolization (UAE), or D&C suction after UAE [1]. Transvaginal ultrasonography (TVUS) is the cornerstone imaging modality in the diagnosis of CSP [2]. Magnetic resonance imaging (MRI) is a problem solver particularly when sonographic findings are equivocal or inadequate before planning intervention [3]. Due to the fact that TVUS is not always technically possible in the radiology departments of secondary care units, familiarity with the transabdominal US features of CSP is critical for the diagnosis. According to best of our knowledge, literature related with early sonographic chances after D&C and long term follow-up imaging findings are limited.

Açıklama

Anahtar Kelimeler

Medical Ultrasonography, Cesarean Scar Pregnancy (CSP), Ectopic Pregnancy, Uterine Rupture, Hysterectomy

Kaynak

Medical Ultrasonography

WoS Q Değeri

Q4

Scopus Q Değeri

Q2

Cilt

18

Sayı

1

Künye