{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T02:45:03Z","timestamp":1792637103763,"version":"4.5.0"},"reference-count":16,"publisher":"California Digital Library (CDL)","issue":"1","license":[{"start":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T00:00:00Z","timestamp":1579046400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>We present a rare case of cesarean scar ectopic pregnancy as diagnosed by transvaginal ultrasonography. Cases such as this are rare, but they are becoming more commonly detected with the growing frequency of cesarean sections, improving technology, and provider proficiency with point-of-care ultrasound. Quick identification of this dangerous diagnosis can be life saving for the patient, as the outcomes of ruptured cesarean ectopic pregnancy may include significant hemorrhage, uterine rupture, and possibly maternal death.<\/jats:p>","DOI":"10.5811\/cpcem.2019.10.43988","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T02:26:44Z","timestamp":1581042404000},"page":"65-68","source":"Crossref","is-referenced-by-count":22,"title":["Cesarean Scar Ectopic Pregnancy: Diagnosis With Ultrasound"],"prefix":"10.5811","volume":"4","author":[{"given":"Taryn","family":"Hoffman","sequence":"first","affiliation":[{"name":"Maimonides Medical Center, Department of Emergency Medicine Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy","family":"Lin","sequence":"additional","affiliation":[{"name":"Maimonides Medical Center, Department of Emergency Medicine Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29705","published-online":{"date-parts":[[2020,1,15]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Gonzalez N and Tulandi T. Cesarean scar pregnancy: a systematic review. J Minim Invasive Gynecol.\u00a02017;24(5):731-8.","DOI":"10.1016\/j.jmig.2017.02.020"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Abbas A, Ali S, Nagy M, et al. Accidental diagnosis and conservative management of a case of first-trimester cesarean scar ectopic pregnancy. Int J Reprod Contracept Obstet Gynecol. 2018;7(4):1628-30.","DOI":"10.18203\/2320-1770.ijrcog20181368"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Dibble E and Lourenco A. Imaging unusual pregnancy Implantations: rare ectopic pregnancies and more. AJR Am J Roentgenol. 2016;207(6):1380-92.","DOI":"10.2214\/ajr.15.15290"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Maheux-Lacroix S, Li F, Bujold E, et al. Cesarean scar pregnancies: a systematic review of treatment options. J Minim Invasive Gynecol. 2017;24(6):915-25.","DOI":"10.1016\/j.jmig.2017.05.019"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Birch Petersen K, Hoffmann E, Rifbjerg Larsen C, et al. Cesarean scar pregnancy: a systematic review of treatment studies. Fertil Steril. 2016;105(4):958-67.","DOI":"10.1016\/j.fertnstert.2015.12.130"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Osborn DA, Williams TR, Craig BM. Cesarean scar pregnancy: sonograpahic and magnetic resonance imaging findings, complications, and treatment. J Ultrasound Med. 2012;31(9):1449-56.","DOI":"10.7863\/jum.2012.31.9.1449"},{"key":"ref6","unstructured":"Larsen JV and Solomon MH. Pregnancy in a uterine scar sacculus--an unusual cause of postabortal haemorrhage. A case report. S Afr Med J. 1978;53(4):142-3."},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Ash A, Smith A, Maxwell D. Ceasean scar pregnancy. BJOG. 2007;114(3):253-63.","DOI":"10.1111\/j.1471-0528.2006.01237.x"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"El-badawy Awad ES, Samy El-agwany A, Mahmoud El-habashy A,  et al. Lower uterine segment pregnancy (Cesarean scar pregnancy and early placenta accreta): a rising complication from cesarean section with possible and similar early ultrasound diagnoses and management. Egypt J Radiol Nuc Med, 2015;46(4):977-80.","DOI":"10.1016\/j.ejrnm.2015.05.018"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Timor-Tritsch IE, Monteagudo A, Bennett T, et al. A new minimally invasive treatment for cesarean scar pregnancy and cervical pregnancy. Am J Obstet Gynecol. 2016;215(3):351.e1-8.","DOI":"10.1016\/j.ajog.2016.03.010"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Timor-Tritsch IE, Monteagudo A, Cali G, et al. Easy sonographic differential diagnosis between intrauterine pregnancy and cesarean delivery scar pregnancy in the early first trimester. Am J of Obstet and Gyneol. 2016;215(2):225.e1-7.","DOI":"10.1016\/j.ajog.2016.02.028"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Aich R, Solanki N, Kekadiya K, et al. Ectopic pregnancy in caesarean section scar: a case report. Radiol Case Rep. 2015;10(4):68-71.","DOI":"10.1016\/j.radcr.2015.08.001"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Godin PA, Bassil S, Donnez J. An ectopic pregnancy developing in a previous caesarian section scar. Fertil Steril. 1997;67(2):398-400.","DOI":"10.1016\/s0015-0282(97)81930-9"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Timor-Tritsch IE, Monteagudo A, Cali G, et al. Cesarean scar pregnancy and early placenta accreta share common histology. Ultrasound Obstet Gynecol, 2014;43(4):383-95.","DOI":"10.1002\/uog.13282"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Riaz RM, Williams TR, Craig BM, et al. 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"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Ades A and Parghi S. Laparoscopic resection of cesarean scar ectopic pregnancy. J Minim Invasive Gynecol. 2017;24(4):533-5.","DOI":"10.1016\/j.jmig.2016.11.006"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,3,9]],"date-time":"2020-03-09T18:24:05Z","timestamp":1583778245000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/0h426731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,15]]},"references-count":16,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,2,3]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2019.10.43988","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1,15]]}}}