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