{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T08:09:19Z","timestamp":1788768559036,"version":"build-2803163510"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Cesarean scar pregnancy (CSP) is a rare condition, accounting for 6% of ectopic pregnancies, with a rising incidence. If not diagnosed early, it may lead to severe complications such as hemorrhage, need for surgery, placenta accreta, and arteriovenous malformation (AVM). Treatment consists of expectant management, medical, or surgical regiments. A 31-year-old woman (G3P2) with one previous cesarean section presented for early pregnancy evaluation. Ultrasound initially showed an intrauterine pregnancy, but follow-up confirmed a missed abortion, and mifepristone\/misoprostol regimen was initiated. At follow-up, persistent tissue at the cesarean scar raised suspicion of scar pregnancy. Declining human chorionic gonadotropin levels were noted, and expectant management implemented. Increased bleeding led to ultrasound and magnetic resonance imaging, revealing a 10\u00a0cm tumor suspicious of AVM. Fertility-preserving surgery with laparoscopic \u2018niche\u2019 resection technique was pursued, but hysterectomy was ultimately required. Histopathological examination showed placenta accreta. Early diagnosis and management of CSP are essential to reduce serious complications.<\/jats:p>","DOI":"10.1093\/jscr\/rjag773","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T11:33:36Z","timestamp":1787052816000},"source":"Crossref","is-referenced-by-count":0,"title":["Placenta accreta and uterine arteriovenous malformation following medically treated missed abortion in patient with undiagnosed cesarean scar pregnancy"],"prefix":"10.1093","volume":"2026","author":[{"given":"Attila","family":"Bothazi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Viborg Regional Hospital , Heibergs All\u00e9 4, 8800 Viborg, Central Denmark Region ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8774-6291","authenticated-orcid":false,"given":"Mathias","family":"Gottschalck","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Viborg Regional Hospital , Heibergs All\u00e9 4, 8800 Viborg, Central Denmark Region ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"2026090703370387500_ref1","doi-asserted-by":"publisher","first-page":"469","DOI":"10.48095\/cccg2025469","article-title":"Arteriovenous malformation developing in a cesarean scar after termination of pregnancy - a case report and review of the literature","volume":"90","author":"Kizildemir","year":"2025","journal-title":"Ceska Gynekol"},{"key":"2026090703370387500_ref2","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.ejogrb.2023.06.030","article-title":"Cesarean scar pregnancy: a systematic review on expectant management","volume":"288","author":"Silva","year":"2023","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2026090703370387500_ref3","doi-asserted-by":"publisher","first-page":"1285","DOI":"10.1097\/AOG.0000000000002940","article-title":"Cesarean scar pregnancy, incidence, and recurrence: five-year experience at a single tertiary care referral center","volume":"132","author":"Grechukhina","year":"2018","journal-title":"Obstet Gynecol"},{"key":"2026090703370387500_ref4","doi-asserted-by":"publisher","first-page":"915","DOI":"10.1016\/j.jmig.2017.05.019","article-title":"Cesarean scar pregnancies: a systematic review of treatment options","volume":"24","author":"Maheux-Lacroix","year":"2017","journal-title":"J Minim Invasive Gynecol"},{"key":"2026090703370387500_ref5","doi-asserted-by":"crossref","first-page":"669.e1","DOI":"10.1016\/j.ajog.2023.10.028","article-title":"First-trimester cesarean scar pregnancy: a comparative analysis of treatment options from the international registry","volume":"230","author":"Kaelin Agten","year":"2024","journal-title":"Am J Obstet Gynecol"},{"key":"2026090703370387500_ref6","doi-asserted-by":"publisher","first-page":"102353","DOI":"10.1016\/j.bpobgyn.2023.102353","article-title":"Global variation and outcomes of expectant management of CSP","volume":"89","author":"Bartels","year":"2023","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"2026090703370387500_ref7","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1002\/uog.17568","article-title":"Outcome of cesarean scar pregnancy managed expectantly: systematic review and meta-analysis","volume":"51","author":"Cali","year":"2018","journal-title":"Ultrasound Obstet Gynecol"},{"key":"2026090703370387500_ref8","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1186\/s13256-025-05312-0","article-title":"Uterine arteriovenous malformation or uterine artery pseudoaneurysm secondary to uterine aspiration in cesarean scar ectopic pregnancy: a case report and review of the literature","volume":"19","author":"Le","year":"2025","journal-title":"J Med Case Reports"},{"key":"2026090703370387500_ref9","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1097\/RC9.0000000000000045","article-title":"Uterine arteriovenous malformation secondary to cesarean scar ectopic pregnancy: a rare case report from Nepal","volume":"138","author":"Pokhrel","year":"2026","journal-title":"Int J Surg Case Rep"},{"key":"2026090703370387500_ref10","doi-asserted-by":"publisher","first-page":"e81497","DOI":"10.7759\/cureus.81497","article-title":"A rare case of uterine arteriovenous malformation following a cesarean scar ectopic pregnancy","volume":"17","author":"Ditchfield","year":"2025","journal-title":"Cureus"},{"key":"2026090703370387500_ref11","doi-asserted-by":"publisher","first-page":"1486","DOI":"10.1136\/bmj.1.5238.1486","article-title":"Experimental studies on the prevention of Rh haemolytic disease","volume":"1","author":"Finn","year":"1961","journal-title":"Br Med J"},{"key":"2026090703370387500_ref12","doi-asserted-by":"publisher","first-page":"111206","DOI":"10.1016\/j.contraception.2025.111206","article-title":"Cesarean delivery scar ectopic pregnancy diagnosed after no-test abortion: a case report","volume":"152","author":"Hu","year":"2025","journal-title":"Contraception"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag773\/70971834\/rjag773.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag773\/70971834\/rjag773.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T07:37:12Z","timestamp":1788766632000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag773\/8786375"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":12,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag773","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag773"}}