{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:02:22Z","timestamp":1790690542210,"version":"4.1.0"},"reference-count":18,"publisher":"Vilnius University Press","issue":"1","license":[{"start":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T00:00:00Z","timestamp":1656460800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AML"],"abstract":"<jats:p>Caesarean scar pregnancy is a potentially life-threatening gynaecological condition, becoming more common due to steadily increasing rate of caesarean sections worldwide. More than one-third of women presenting with caesarean scar pregnancy are asymptomatic, but over the time if left untreated this condition can lead to the uterine rupture and massive maternal haemorrhage. Therefore it is necessary to diagnose and manage caesarean scar pregnancies properly at the beginning of the first trimester. We present the case of woman with three previous caesarean sections, who was diagnosed with complicated caesarean scar pregnancy and then successfully managed using surgical intervention.<\/jats:p>","DOI":"10.15388\/amed.2022.29.1.17","type":"journal-article","created":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T03:44:39Z","timestamp":1656474279000},"page":"124-130","source":"Crossref","is-referenced-by-count":5,"title":["Caesarean Scar Pregnancy: A Case Report"],"prefix":"10.15388","volume":"29","author":[{"given":"Vilius","family":"Rudaitis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail\u0117","family":"Maldutyt\u0117","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u016brat\u0117","family":"Brazauskien\u0117","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mykolas","family":"Pavlauskas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dileta","family":"Valan\u010dien\u0117","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6097","published-online":{"date-parts":[[2022,6,29]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Gonzalez N, Tulandi T. Cesarean scar pregnancy: A systematic review. J Minim Invasive Gynecol. 2017;24(5):731-8. DOI: https:\/\/doi.org\/10.1016\/j.jmig.2017.02.020","DOI":"10.1016\/j.jmig.2017.02.020"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Diagnosis and management of ectopic pregnancy: Green-top guideline no. 21: Green-top guideline no. 21. BJOG. 2016;123(13):e15-55. DOI: https:\/\/doi.org\/10.1111\/1471-0528.14189","DOI":"10.1111\/1471-0528.14189"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Jordans IPM, Verberkt C, De Leeuw RA, Bilardo CM, Van Den Bosch T, Bourne T, Br\u00f6lmann HAM, Dueholm M, Hehenkamp WJK, Jastrow N, Jurkovic D, Kaelin Agten A, Mashiach R, Naji O, Pajkrt E, Timmerman D, Vikhareva O, Van Der Voet LF, Huirne JAF. Definition and sonographic reporting system for Cesarean scar pregnancy in early gestation: modified Delphi method. Ultrasound Obstet Gynecol. 2022;59(4):437-49. DOI: https:\/\/doi.org\/10.1002\/uog.24815","DOI":"10.1002\/uog.24815"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Betran AP, Ye J, Moller A-B, Souza JP, Zhang J. Trends and projections of caesarean section rates: global and regional estimates. BMJ Glob Health. 2021;6(6):e005671. DOI: 10.1136\/bmjgh-2021-005671","DOI":"10.1136\/bmjgh-2021-005671"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Liu L, Ross WT, Chu AL, Deimling TA. An updated guide to the diagnosis and management of cesarean scar pregnancies. Curr Opin Obstet Gynecol. 2020;32(4):255-62. DOI: 10.1097\/GCO.0000000000000644","DOI":"10.1097\/GCO.0000000000000644"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Society for Maternal-Fetal Medicine (SMFM). Electronic address: pubs@smfm.org, Miller R, Timor-Tritsch IE, Gyamfi-Bannerman C. Society for Maternal-Fetal Medicine (SMFM) Consult Series #49: Cesarean scar pregnancy. Am J Obstet Gynecol. 2020;222(5):B2-14. DOI: http:\/\/dx.doi.org\/10.1016\/j.ajog.2020.01.030","DOI":"10.1016\/j.ajog.2020.01.030"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol. 2006;107(6):1373-81. DOI: 10.1097\/01.AOG.0000218690.24494.ce","DOI":"10.1097\/01.AOG.0000218690.24494.ce"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Maheux-Lacroix S, Li F, Bujold E, Nesbitt-Hawes E, Deans R, Abbott J. Cesarean Scar Pregnancies: A Systematic Review of Treatment Options. J Minim Invasive Gynecol. 2017;24(6):915-925. DOI: https:\/\/doi.org\/10.1016\/j.jmig.2017.05.019","DOI":"10.1016\/j.jmig.2017.05.019"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Huanxiao Z, Shuqin C, Hongye J, Hongzhe X, Gang N, Chengkang X, Xiaoming G, Shuzhong Y. Transvaginal hysterotomy for cesarean scar pregnancy in 40 consecutive cases. Gynecol Surg. 2015;12(1):45-51. DOI: http:\/\/dx.doi.org\/10.1007\/s10397-014-0863-3","DOI":"10.1007\/s10397-014-0863-3"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Birch Petersen K, Hoffmann E, Rifbjerg Larsen C, Svarre Nielsen H. Cesarean scar pregnancy: a systematic review of treatment studies. Fertil Steril. 2016;105(4):958-67. DOI: https:\/\/doi.org\/10.1016\/j.fertnstert.2015.12.130","DOI":"10.1016\/j.fertnstert.2015.12.130"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG. 2007;114(3):253-63. DOI: https:\/\/doi.org\/10.1111\/j.1471-0528.2006.01237.x","DOI":"10.1111\/j.1471-0528.2006.01237.x"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Riaz RM, Williams TR, Craig BM, Myers DT. Cesarean scar ectopic pregnancy: imaging features, current treatment options, and clinical outcomes. Abdom Imaging. 2015;40(7):2589-99. DOI: 10.1007\/s00261-015-0472-2","DOI":"10.1007\/s00261-015-0472-2"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Timor-Tritsch IE, Monteagudo A, Santos R, Tsymbal T, Pineda G, Arslan AA. The diagnosis, treatment, and follow-up of cesarean scar pregnancy. Am J Obstet Gynecol. 2012;207(1):44.e1-13. DOI: https:\/\/doi.org\/10.1016\/j.ajog.2012.04.018","DOI":"10.1016\/j.ajog.2012.04.018"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Kaelin Agten A, Cali G, Monteagudo A, Oviedo J, Ramos J, Timor-Tritsch I. The clinical outcome of cesarean scar pregnancies implanted \"on the scar\" versus \"in the niche.\" Am J Obstet Gynecol. 2017;216:510.e1-6. DOI: https:\/\/doi.org\/10.1016\/j.ajog.2017.01.019","DOI":"10.1016\/j.ajog.2017.01.019"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Timor-Tritsch I, Buca D, Di Mascio D, Cali G, D'Amico A, Monteagudo A, Tinari S, Morlando M, Nappi L, Greco P, Rizzo G, Liberati M, Jose-Palacios-Jaraquemada, D'Antonio F. Outcome of cesarean scar pregnancy according to gestational age at diagnosis: A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2021;258:53-59. DOI: https:\/\/doi.org\/10.1016\/j.ejogrb.2020.11.036","DOI":"10.1016\/j.ejogrb.2020.11.036"},{"key":"ref15","doi-asserted-by":"publisher","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):14-29. DOI: https:\/\/doi.org\/10.1016\/j.ajog.2012.03.007","DOI":"10.1016\/j.ajog.2012.03.007"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Wang Q, Peng HL, He L, Zhao X. Reproductive outcomes after previous cesarean scar pregnancy: Follow up of 189 women. Taiwan J Obstet Gynecol. 2015;54(5):551-3. DOI: https:\/\/doi.org\/10.1016\/j.tjog.2015.08.006","DOI":"10.1016\/j.tjog.2015.08.006"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"Ben Nagi J, Helmy S, Ofili-Yebovi D, Yazbek J, Sawyer E, Jurkovic D. Reproductive outcomes of women with a previous history of Caesarean scar ectopic pregnancies. Hum Reprod. 2007;22(7):2012-5. DOI: https:\/\/doi.org\/10.1093\/humrep\/dem078","DOI":"10.1093\/humrep\/dem078"}],"container-title":["Acta medica Lituanica"],"original-title":[],"link":[{"URL":"https:\/\/www.zurnalai.vu.lt\/AML\/article\/download\/26539\/27212","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/26539\/27213","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.zurnalai.vu.lt\/AML\/article\/download\/26539\/27213","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.zurnalai.vu.lt\/AML\/article\/download\/26539\/27212","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T09:57:02Z","timestamp":1754301422000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.zurnalai.vu.lt\/AML\/article\/view\/26539"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,29]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,1,11]]}},"URL":"https:\/\/doi.org\/10.15388\/amed.2022.29.1.17","relation":{},"ISSN":["2029-4174","1392-0138"],"issn-type":[{"value":"2029-4174","type":"electronic"},{"value":"1392-0138","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6,29]]}}}