First-Trimester Diagnosis of Cesarean Scar Ectopic Pregnancy

被引：18

作者：

Moschos, Elysia ^{[1
]}

Sreenarasimhaiah, Sreedevi ^{[1
]}

Twickler, Diane M. ^{[1
,2
]}

机构：

[1] Univ Texas SW Med Ctr Dallas, Dept Obstet & Gynecol, Div Gynecol, Dallas, TX 75390 USA

[2] Univ Texas SW Med Ctr Dallas, Dept Radiol, Dallas, TX 75390 USA

来源：

JOURNAL OF CLINICAL ULTRASOUND | 2008年 / 36卷 / 08期

关键词：

ectopic pregnancy; cesarean section; sonography;

D O I：

10.1002/jcu.20471

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

Once considered extremely rare, implantation of a pregnancy within the scar of a previous cesarean section is becoming more common. In fact, its incidence is now higher than that of cervical ectopic pregnancies. We identified 5 cases of ectopic pregnancy implanted in a prior cesarean section scar at our institution since 2004. We outline the criteria for the first-trimester sonographic diagnosis of cesarean scar ectopic pregnancy, including a new sign of lower uterine segment ballooning, which has previously not been reported. Clinicians must have a heightened awareness of this serious and potentially fatal pregnancy complication. (C) 2008 Wiley Periodicals, Inc. J Clin Ultrasound 36:504-511, 2008; Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jcu.20471

引用

页码：504 / 511

页数：8