This is the first case report, to our knowledge, of a late-first-trimester cesarean section scar ectopic pregnancy with placenta increta.
Early identification of the ectopic pregnancy may allow for more conservative, nonsurgical management. However, with a more advanced gestational age and placenta increta, surgical management is most appropriate to minimize associated maternal risks. A transverse wedge resection of the implantation site, uterine artery embolization, uterine artery ligation, endovascular balloon catheters, or uterine artery tourniquet may help decrease bleeding during surgical extraction of the pregnancy and placenta increta, and also may prevent a hysterectomy.
2012-02-13
Eng.
The Journal of reproductive medicine
Department of Obstetrics and Gynecology, INOVA Fairfax Hospital, Falls Church, VA, USA. overcash [at] gwu.edu
J Reprod Med. ;57(1-2):61-4
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