Related Experiment Video
Updated: Jan 25, 2026
Visualizing Scar Development Using SCAD Assay - An Ex-situ Skin Scarring Assay
Published on: April 28, 2022
[Cesarean scar pregnancy]
Angelique M M Kleijweg1,2, Angelique L Veenstra-van Nieuwenhoven1, J M Sikkema1
1Ziekenhuisgroep Twente, locatie Almelo en Hengelo, afd. Gynaecologie.
Background:
A rare, but potentially life-threatening complication of a Cesarean section is a so-called Cesarean scar pregnancy (CSP). This concerns an ectopic pregnancy, where the implantation takes place in a niche of the Cesarean section scar.
Case Description:
We describe the case of a 29-year-old pregnant woman (G5P3), who after a amenorrhoea period of 6 weeks was referred to us by a midwife because the sonography showed an empty uterus. She had previously undergone two Cesarean sections. During transvaginal sonography we observed a small amiotic sac in the Cesarean section scar, lacking a clear heart rhythm.
Conclusion:
Since there are no general guidelines for the treatment of CSP, a patient-specific approach should be taken to determine optimal management. There is, however, a clear preference to terminate the pregnancy as soon as possible.
