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Heterotopic cesarean scar pregnancy in a non-assisted fertility : a case report
Joint Authors
Iftikhari Yazdi, Mitra
Moghaddam, Manijeh Yusufi
Souizi, Behnaz
Mortazavi, Forough
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 19, Issue 9 (30 Sep. 2017), pp.1-4, 4 p.
Publisher
Publication Date
2017-09-30
Country of Publication
United Arab Emirates
No. of Pages
4
Main Subjects
Abstract EN
Introduction : Cesarean rate increased in recent decades worldwide.
One of the consequences of the increased cesarean rate and repeat cesarean is the significant increase in cesarean scar pregnancies (CSPs).
Diagnosis of a CSP is more difficult when there is a heterotopic pregnancy in a non-assisted pregnancy.
Case Presentation: The patient was a 34-year-old G5P2L2Ab2 referred for spotting in Shahidan Mobini hospital, Sabzevar, Iran in 2016.
She had a history of 2 cesareans and 2 abortions.
Three ultrasounds were performed showing a gestational sac in the lower segment of the uterus with different diagnoses: 1) with hemorrhage over it, 2) with the 2nd gestational sac over it, which was diagnosed as missed abortion, and 3) with an echo-free and irregularly region supporting the 2nd sac or a clot in the lower part of the uterus.
The increased local vascularity suggested a level of placenta accreta, partial mole, or trophoblastic reaction.
Since the first diagnosis was missed abortion, curettage was performed.
Due to the continuation of severe bleeding, abdominal hysterectomy was performed.
The patient was discharged in good condition after 3 days.
Conclusions : Heterotopic CSP does not have any specific symptoms, which caused it to be easily misdiagnosed.
Physicians should use precise diagnostic tests in case of controversial test results
American Psychological Association (APA)
Iftikhari Yazdi, Mitra& Moghaddam, Manijeh Yusufi& Souizi, Behnaz& Mortazavi, Forough. 2017. Heterotopic cesarean scar pregnancy in a non-assisted fertility : a case report. Iranian Red Crescent Medical Journal،Vol. 19, no. 9, pp.1-4.
https://search.emarefa.net/detail/BIM-796211
Modern Language Association (MLA)
Iftikhari Yazdi, Mitra…[et al.]. Heterotopic cesarean scar pregnancy in a non-assisted fertility : a case report. Iranian Red Crescent Medical Journal Vol. 19, no. 9 (Sep. 2017), pp.1-4.
https://search.emarefa.net/detail/BIM-796211
American Medical Association (AMA)
Iftikhari Yazdi, Mitra& Moghaddam, Manijeh Yusufi& Souizi, Behnaz& Mortazavi, Forough. Heterotopic cesarean scar pregnancy in a non-assisted fertility : a case report. Iranian Red Crescent Medical Journal. 2017. Vol. 19, no. 9, pp.1-4.
https://search.emarefa.net/detail/BIM-796211
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 4
Record ID
BIM-796211