{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T16:05:28Z","timestamp":1749571528064,"version":"3.37.3"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T00:00:00Z","timestamp":1619136000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T00:00:00Z","timestamp":1619136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Fertil Res and Pract"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>This article reports a unique case of cesarean scar pregnancy, demonstrating importance of early management and diagnosis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 30-year-old pregnant woman with prior history of two cesarean sections found to have cesarean scar pregnancy at approximately 13\u2009weeks\u2019 gestation and underwent a gravid hysterectomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>While rare, cesarean scar pregnancies should be considered on the differential diagnosis of any pregnant patient with history of cesarean section who presents in early pregnancy with vaginal bleeding and\/or cramping. Given the increased rates of cesarean sections in the times of COVID-19, one may anticipate seeing more cases of cesarean scar pregnancies.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40738-021-00103-9","type":"journal-article","created":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T05:03:11Z","timestamp":1619154191000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mid-trimester cesarean scar pregnancy: a case report"],"prefix":"10.1186","volume":"7","author":[{"given":"Mary Louise","family":"Fowler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Little","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Muto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5527-5787","authenticated-orcid":false,"given":"Shruthi","family":"Mahalingaiah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,4,23]]},"reference":[{"issue":"3","key":"103_CR1","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1111\/j.1471-0528.2006.01237.x","volume":"114","author":"A Ash","year":"2007","unstructured":"Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG. 2007;114(3):253\u201363. https:\/\/doi.org\/10.1111\/j.1471-0528.2006.01237.x.","journal-title":"BJOG"},{"key":"103_CR2","doi-asserted-by":"publisher","unstructured":"Chen L, Li Q, Zheng D, Jiang H, Wei Y, Zou L, et al. Clinical characteristics of pregnant women with Covid-19 in Wuhan, China. NEJM. 2020;382(25):e100. https:\/\/doi.org\/10.1056\/NEJMc2009226.","DOI":"10.1056\/NEJMc2009226"},{"issue":"5","key":"103_CR3","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.ajog.2017.01.019","volume":"216","author":"A Kaelin Agten","year":"2017","unstructured":"Kaelin Agten A, Cali G, Monteagudo A, Oviedo J, Ramos J, Timor-Tritsch I. The clinical outcome of cesarean scar pregnancies implanted \u201con the scar\u201d versus \u201cin the niche\u201d. Am J Obstet Gynecol. 2017;216(5):e1\u20136.","journal-title":"Am J Obstet Gynecol"},{"issue":"6","key":"103_CR4","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1007\/s13224-015-0817-3","volume":"65","author":"MA Patel","year":"2015","unstructured":"Patel MA. Scar ectopic pregnancy. J Obstet Gynaecol India. 2015;65(6):372\u20135. https:\/\/doi.org\/10.1007\/s13224-015-0817-3.","journal-title":"J Obstet Gynaecol India"},{"issue":"6","key":"103_CR5","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1097\/01.AOG.0000218690.24494.ce","volume":"107","author":"MA Rotas","year":"2006","unstructured":"Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies. Obstet Gynecol. 2006;107(6):1373\u201381. https:\/\/doi.org\/10.1097\/01.AOG.0000218690.24494.ce.","journal-title":"Obstet Gynecol"},{"issue":"1","key":"103_CR6","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1111\/j.1447-0756.2012.01892.x","volume":"39","author":"Y Zhang","year":"2013","unstructured":"Zhang Y, Gu Y, Wang JM, Li Y. Analysis of cases with cesarean scar pregnancy. J Obstet Gynaecol Res. 2013;39(1):195\u2013202. https:\/\/doi.org\/10.1111\/j.1447-0756.2012.01892.x.","journal-title":"J Obstet Gynaecol Res"},{"key":"103_CR7","first-page":"8904507","volume":"2020","author":"K Li","year":"2020","unstructured":"Li K, Dai Q. Differential diagnosis of cesarean scar pregnancies and other pregnancies implanted in the lower uterus by ultrasound parameters. Biomed Res Int. 2020;2020:8904507.","journal-title":"Biomed Res Int"},{"issue":"6","key":"103_CR8","doi-asserted-by":"publisher","first-page":"592","DOI":"10.1046\/j.1469-0705.2000.00300-2.x","volume":"16","author":"Y Vial","year":"2000","unstructured":"Vial Y, Petignat P, Hohlfeld P. Pregnancy in a cesarean scar. Ultrasound Obstet Gynecol. 2000;16(6):592\u20133. https:\/\/doi.org\/10.1046\/j.1469-0705.2000.00300-2.x.","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"1","key":"103_CR9","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1016\/j.ajog.2012.03.007","volume":"207","author":"IE Timor-Tritsch","year":"2012","unstructured":"Timor-Tritsch IE, Monteagudo A. Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review. Am J Obstet Gynecol. 2012;207(1):14\u201329. https:\/\/doi.org\/10.1016\/j.ajog.2012.03.007.","journal-title":"Am J Obstet Gynecol"},{"issue":"4","key":"103_CR10","doi-asserted-by":"publisher","first-page":"601","DOI":"10.7863\/ultra.34.4.601","volume":"34","author":"IE Timor-Tritsch","year":"2015","unstructured":"Timor-Tritsch IE, Khatib N, Monteagudo A, Ramos J, Berg R, Kovacs S. Cesarean scar pregnancies: experience of 60 cases. J Ultrasound Med. 2015;34(4):601\u201310. https:\/\/doi.org\/10.7863\/ultra.34.4.601.","journal-title":"J Ultrasound Med"},{"issue":"11","key":"103_CR11","doi-asserted-by":"publisher","first-page":"1835","DOI":"10.7863\/jum.2012.31.11.1835","volume":"31","author":"J Ballas","year":"2012","unstructured":"Ballas J, Pretorius D, Hull AD, Resnik R, Ramos GA. Identifying sonographic markers for placenta accreta in the first trimester. J Ultrasound Med. 2012;31(11):1835\u201341. https:\/\/doi.org\/10.7863\/jum.2012.31.11.1835.","journal-title":"J Ultrasound Med"}],"container-title":["Fertility Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40738-021-00103-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40738-021-00103-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40738-021-00103-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T05:04:23Z","timestamp":1619154263000},"score":1,"resource":{"primary":{"URL":"https:\/\/fertilityresearchandpractice.biomedcentral.com\/articles\/10.1186\/s40738-021-00103-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,23]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["103"],"URL":"https:\/\/doi.org\/10.1186\/s40738-021-00103-9","relation":{},"ISSN":["2054-7099"],"issn-type":[{"type":"electronic","value":"2054-7099"}],"subject":[],"published":{"date-parts":[[2021,4,23]]},"assertion":[{"value":"20 January 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 April 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 April 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not Applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"In this publication images are entirely unidentifiable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"10"}}