title: Caesarean section scar pregnancy: a case series at a single tertiary centre.
abstract: We present a case series of four patients with Caesarean scar pregnancies (CSPs) managed at our gynaecological unit between October 2008 and May 2009. Three patients were detected while asymptomatic, and were treated with elective intragestational sac methotrexate injections. The last patient had presented following complications from a termination of pregnancy for a CSP that was misdiagnosed as intrauterine. Following treatment, this patient and another developed arteriovenous malformation, which responded to bilateral uterine artery embolisations and gonadotropin releasing hormone (GnRH)-agonist treatment.
authors.affiliation: Department of Obstetrics and Gynaecology, Singapore General Hospital, Outram Road, Singapore 169608. cindypangyp@yahoo.com
authors.forename: Yi Ping Cindy
authors.initials: YP
authors.lastname: Pang
authors.forename: Wei Ching
authors.initials: WC
authors.lastname: Tan
authors.forename: Tze Tein
authors.initials: TT
authors.lastname: Yong
authors.forename: Poh Kim Elisa
authors.initials: PK
authors.lastname: Koh
authors.forename: Hak Koon
authors.initials: HK
authors.lastname: Tan
authors.forename: Tew Hong
authors.initials: TH
authors.lastname: Ho
mesh_terms: D000028:Abortion, Induced / Q000379:methods; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome