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Case Report
Natural evolution of a cesarean scar pregnancy up to 34 weeks complicated by an early subserosal uterine rupture and placenta accreta spectrum disorders
1 Department of Medicine, Cheikh Anta Diop University of Dakar, Senegal
2 Department of Obstetrics and Gynecology, Dalal Jamm National Hospital Center, Dakar, Senegal
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Mame Diarra Ndiaye
Cheikh Anta Diop University of Dakar – Dalal Jamm National Hospital Center,
Senegal
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Article ID: 100187Z08MN2024
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How to cite this article
Ndiaye MD, Sall NR, Niass A, Gueye M, Moreira PM. Natural evolution of a cesarean scar pregnancy up to 34 weeks complicated by an early subserosal uterine rupture and placenta accreta spectrum disorders. J Case Rep Images Obstet Gynecol 2024;10(2):54–57.ABSTRACT
Cesarean scar pregnancy (CSP) is an extremely rare form of ectopic pregnancy. A 39-year-old woman with a history of multiple uterine surgeries was diagnosed with a CSP at seven weeks by transvaginal ultrasound. The CSP was misdiagnosed at 13 weeks and 5 days during a second medical opinion. At 22 weeks of gestation, a 3.8 cm subserosal uterine rupture was visualized. Expectant management was decided. A live birth was achieved through an elective cesarean section at 34 weeks of gestation. The complications were early subserosal uterine rupture and placenta accreta spectrum that led to a hysterectomy. Due to risk of uterine rupture, management should consist of early termination of the pregnancy.
Keywords: Placenta accreta, Pregnancy, Cesarean section, Uterine rupture
SUPPORTING INFORMATION
Author Contributions
Mame Diarra Ndiaye - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ndèye Racky Sall - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Aminata Niass - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Mamour Gueye - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Philippe Marc Moreira - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Mame Diarra Ndiaye et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
