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Sonographic appearance of a cesarean scar pregnancy with placenta percreta invading the bladder in the first trimester and management with fertility preservation
Author(s) -
Rebarber Andrei,
Varrey Aneesha,
Scherr Doug,
Fox Nathan,
Sassoon Robert,
Ciorica Doina,
Saltzman Daniel
Publication year - 2016
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22368
Subject(s) - medicine , placenta percreta , pregnancy , fulguration , obstetrics , cystectomy , first trimester , fertility , ultrasound , gynecology , placenta , surgery , gestation , fetus , radiology , bladder cancer , population , genetics , cancer , biology , environmental health
A 36‐year‐old, gravida 8, para 6, woman with six prior cesarean sections presented at 6 weeks with a cesarean scar pregnancy. Medical management was performed initially; however, subsequent three‐dimensional sonographic examinations revealed trophoblastic invasion into the bladder. This led to robotic‐assisted partial cystectomy, fulguration of invaded pregnancy, and repair of the uterine defect. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45 :163–167, 2017

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