caa a22 4500 605493049 CHVBK 20210128100518.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00261-015-0472-2 doi (NATIONALLICENCE)springer-10.1007/s00261-015-0472-2 Cesarean scar ectopic pregnancy: imaging features, current treatment options, and clinical outcomes [Elektronische Daten] [Rehan Riaz, Todd Williams, Brian Craig, Daniel Myers] Purpose: Cesarean scar ectopic pregnancy (CSEP) is considered to be quite rare, but the frequency is increasing given the increasing number of cesarean sections being performed, along with increased detection due to widespread use of early endovaginal sonography. The normal sonographic and magnetic resonance findings of this phenomenon will be discussed, including the appearance of complications associated with abnormal placentation, such as the placenta accreta spectrum. Cases of CSEP at our institution will be illustrated, along with clinical presentations and treatment outcomes. Methods: The study included women who were diagnosed with a CSEP in the first trimester, which was confirmed by ultrasound. The clinical presentations, imaging findings, and treatment outcomes of these pregnancies were recorded. Results: In our series, treatment ranged from no intervention with fetal demise on short-term follow-up ultrasound to viable near-term deliveries requiring cesarean section, urgent blood products, and emergent surgery. The majority of our cases 75% (15 of 20) underwent successful early first trimester termination by a combination of systemic methotrexate administration, ultrasound-guided injection of embryocidal agents, and/or surgery. Conclusion: Early imaging recognition and diagnosis of CSEP is critically important to minimize maternal complications, maintain treatment options, and potentially preserve future fertility. Springer Science+Business Media New York, 2015 Cesarean section nationallicence Ectopic pregnancy nationallicence Scar pregnancy nationallicence Complications nationallicence Treatment nationallicence Placenta accreta nationallicence Riaz Rehan Department of Radiology, Henry Ford Hospital, 2799 W. Grand Blvd, 48202, Detroit, MI, USA aut Williams Todd Department of Radiology, Henry Ford Hospital, 2799 W. Grand Blvd, 48202, Detroit, MI, USA aut Craig Brian Department of Radiology, Henry Ford Hospital, 2799 W. Grand Blvd, 48202, Detroit, MI, USA aut Myers Daniel Department of Radiology, Henry Ford Hospital, 2799 W. Grand Blvd, 48202, Detroit, MI, USA aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/7(2015-10-01), 2589-2599 0942-8925 40:7<2589 2015 40 261 https://doi.org/10.1007/s00261-015-0472-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-015-0472-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Riaz Rehan Department of Radiology, Henry Ford Hospital, 2799 W. Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Williams Todd Department of Radiology, Henry Ford Hospital, 2799 W. Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Craig Brian Department of Radiology, Henry Ford Hospital, 2799 W. Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Myers Daniel Department of Radiology, Henry Ford Hospital, 2799 W. Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/7(2015-10-01), 2589-2599 0942-8925 40:7<2589 2015 40 261