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MRI Assessment of Cesarean Scar Pregnancies: A Case Series

Rosita Comune1, Carlo Liguori2, Stefania Tamburrini2

  • 1Division of Radiology, Università degli Studi della Campania Luigi Vanvitelli, 80138 Naples, Italy.

Journal of Clinical Medicine
|December 9, 2023
PubMed

Cesarean scar pregnancies (CSPs) are a type of ectopic pregnancy that occur when an embryo implants within the fibrous scar tissue of a previous cesarean surgery. If not promptly detected and treated, CSPs can result in serious maternal complications, such as uterine rupture and hemorrhage. TVUS (transvaginal ultrasonography) represents the imaging of choice for the diagnosis of CSPs; however, recent studies proposed a complementary role of MRI due to its capability in soft tissue characterization that may impact the therapeutical decision-making process. The purpose of our study was to explore the role of MRI in the diagnosis and its impact on therapeutical options in CSPs. Our experience showed that MRI has a complementary role to TVSU in correctly diagnosing CSPs, identifying the type, and guiding the therapeutical approach.

Keywords:
MRIMRI findingsMRI in pregnancycesarean scar pregnancydiagnosisectopic pregnancyembolizationtransvaginal ultrasoundultrasound

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