{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T14:44:25Z","timestamp":1776177865092,"version":"3.50.1"},"reference-count":18,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,2,21]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>A woman in her early 40s, who had two previous caesarean sections, at 10-week period of amenorrhoea presented to our hospital gynaecology clinic.<\/jats:p>\n               <jats:p>A caesarean scar pregnancy (CSP) was diagnosed after performing a transvaginal scan.<\/jats:p>\n               <jats:p>The diagnosis was explained to the patient, and the patient opted for expectant management.<\/jats:p>\n               <jats:p>She presented to the emergency department with severe abdominal pain and vaginal bleeding after 4 days.<\/jats:p>\n               <jats:p>A transvaginal scan revealed a CSP with a fetal pole and heartbeat.<\/jats:p>\n               <jats:p>Since the cervical os was opened, a successful suction curettage was performed. Beta hCG became undetectable 11 days after curettage.<\/jats:p>\n               <jats:p>This case demonstrates the current knowledge of the application of transvaginal scanning for managing the presentations of CSP, and the correct application of minimally invasive tailor-made surgical procedures will provide cost-effective and safer outcomes for individual patients.<\/jats:p>","DOI":"10.1136\/bcr-2024-263901","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T08:05:56Z","timestamp":1741853156000},"page":"e263901","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Caesarean section scar pregnancy: expectant management with favourable outcome of an acute presentation"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3214-4415","authenticated-orcid":false,"given":"Senapathige Nilan Kalidasa","family":"Rodrigo","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, Faculty of Medicine,General Sir John Kotelawala Defence University, Ratmalana, Sri Lanka"},{"name":"Hemas Hospital Wattala, Hemas Holdings PLC, Wattala, Western Province, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eranda Diyagama","family":"Gunasekera","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Faculty of Medicine,General Sir John Kotelawala Defence University, Ratmalana, Sri Lanka"},{"name":"Hemas Hospital Wattala, Hemas Holdings PLC, Wattala, Western Province, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhanuka","family":"Dhanaratna","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Faculty of Medicine,General Sir John Kotelawala Defence University, Ratmalana, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"key":"2025082708272931000_18.3.e263901.1","first-page":"142","article-title":"Pregnancy in a uterine scar sacculus--an unusual cause of postabortal haemorrhage","volume":"53","author":"Laursen","year":"1978","journal-title":"S Afr Med J"},{"key":"2025082708272931000_18.3.e263901.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000218690.24494.ce"},{"key":"2025082708272931000_18.3.e263901.3","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1002\/uog.56","article-title":"First\u2010trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar","volume":"21","author":"Jurkovic","year":"2003","journal-title":"Ultrasound in Obstet & Gyne"},{"key":"2025082708272931000_18.3.e263901.4","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14189"},{"key":"2025082708272931000_18.3.e263901.5","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1111\/tog.12355","article-title":"Caesarean scar ectopic pregnancy: diagnostic challenges and management options","volume":"19","author":"Jayaram","year":"2017","journal-title":"The Obstetric &amp; Gynaecologis"},{"key":"2025082708272931000_18.3.e263901.6","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmh042"},{"key":"2025082708272931000_18.3.e263901.7","first-page":"568","article-title":"Expert consensus on diagnosis and treatment of uterine scar pregnancy after cesarean section (2016)","volume":"51","year":"2016","journal-title":"Chin J Obstet Gynecol"},{"key":"2025082708272931000_18.3.e263901.8","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1046\/j.1469-0705.2000.00300-2.x","article-title":"Pregnancy in a Cesarean scar","volume":"16","author":"Vial","year":"2000","journal-title":"Ultrasound in Obstet &Amp; Gyne"},{"key":"2025082708272931000_18.3.e263901.9","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.34.4.595"},{"key":"2025082708272931000_18.3.e263901.10","doi-asserted-by":"crossref","unstructured":"Cohen LS . 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