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Case Reports
. 2017 May-Jun;50(3):197-198.
doi: 10.1590/0100-3984.2014.1855.

Cesarean scar ectopic pregnancy: invasion of the bladder wall detected by magnetic resonance imaging

Nelson Marcio Gomes Caserta  1 , Angela Maria Bacha  2 , Oswaldo R Grassiotto  2
Affiliations
Case Reports

Cesarean scar ectopic pregnancy: invasion of the bladder wall detected by magnetic resonance imaging

Nelson Marcio Gomes Caserta et al. Radiol Bras. 2017 May-Jun.

Abstract
in English, Portuguese

Although cesarean scar ectopic pregnancy continues to be the rarest form of ectopic pregnancy, its incidence is increasing because of the worldwide increase in the number of cesarean deliveries. If the diagnosis is delayed, there is a high risk of severe hemorrhage and death, whereas early diagnosis can minimize the complications associated with the condition. Here, we report a case in which invasion of the bladder wall was identified by magnetic resonance imaging.

Gestação em cicatriz de cesariana é a forma mais rara de gravidez ectópica, mas com aumento devido ao maior número de cesarianas. O diagnóstico tardio pode provocar hemorragia grave, com risco de morte, mas se precoce pode reduzir as complicações. Relatamos um caso com invasão da parede da bexiga, provocando hematúria, e que foi demonstrada pela ressonância magnética.

Keywords: Cesarean section; Hematuria; Magnetic resonance imaging; Pregnancy, ectopic; Urinary bladder.

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Figures

Figure 1
Figure 1
A: Axial T2-weighted MRI showing a heterogeneous mass on the right side of the uterine isthmus (arrows). B: After administration of gadolinium, there was pronounced, heterogeneous impregnation of this mass (arrows).
Figure 2
Figure 2
A: Coronal T2-weighted MRI showing that the myometrium (arrows) was ruptured by the gestational mass. B: Sagittal T2-weighted MRI scan along the midline, showing the empty endometrial cavity and the opening (arrow) caused by the cesarean scar ectopic pregnancy invading the bladder.
See this image and copyright information in PMC

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