title: Sonographic appearance of a cesarean scar pregnancy with placenta percreta invading the bladder in the first trimester and management with fertility preservation.
abstract: 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.
authors.affiliation: Carnegie Imaging for Women, PLLC, Mount Sinai School of Medicine, New York, New York.|Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai School of Medicine, New York, New York.
authors.forename: Andrei
authors.initials: A
authors.lastname: Rebarber
authors.affiliation: Department of Obstetrics & Gynecology, NY Presbyterian--Weill Cornell Medical College, New York, New York.
authors.forename: Aneesha
authors.initials: A
authors.lastname: Varrey
authors.affiliation: Department of Urology, New York Presbyterian--Weill Cornell Medical College, New York, New York.
authors.forename: Doug
authors.initials: D
authors.lastname: Scherr
authors.affiliation: Carnegie Imaging for Women, PLLC, Mount Sinai School of Medicine, New York, New York.|Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai School of Medicine, New York, New York.
authors.forename: Nathan
authors.initials: N
authors.lastname: Fox
authors.affiliation: Department of Obstetrics & Gynecology, NY Presbyterian--Weill Cornell Medical College, New York, New York.
authors.forename: Robert
authors.initials: R
authors.lastname: Sassoon
authors.affiliation: Carnegie Imaging for Women, PLLC, Mount Sinai School of Medicine, New York, New York.
authors.forename: Doina
authors.initials: D
authors.lastname: Ciorica
authors.affiliation: Carnegie Imaging for Women, PLLC, Mount Sinai School of Medicine, New York, New York.|Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai School of Medicine, New York, New York.
authors.forename: Daniel
authors.initials: D
authors.lastname: Saltzman
mesh_terms: D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix / Q000000981:diagnostic imaging / Q000601:surgery; D015653:Cystectomy; D005260:Female; D059247:Fertility Preservation; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D010921:Placenta Accreta / Q000000981:diagnostic imaging* / Q000601:surgery; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000601:surgery; D065287:Robotic Surgical Procedures; D014463:Ultrasonography / Q000379:methods*; D001743:Urinary Bladder / Q000000981:diagnostic imaging* / Q000601:surgery
keywords: cesarean section; fertility preservation; obstetrics; placenta percreta; three-dimensional sonography; ultrasonography; uterus