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VOL. 8, ISSUE 2 (2026)
Scar wars: A viable cesarean scar pregnancy mimicking cervical pregnancy and abortion in progress diagnostic clues from First-Trimester Ultrasound
Authors
Dr. Manasa Prakash, Dr. Siddharth Pandey, Dr. Yashaswi, Dr. Sahana A, Dr. Vidhya Rani R
Abstract
Cesarean scar pregnancy (CSP) is a rare form
of ectopic pregnancy in which implantation occurs within a previous cesarean
section scar. Early diagnosis is crucial because delayed recognition may result
in uterine rupture, massive hemorrhage, and loss of fertility. We report a case
of a viable first-trimester CSP in a woman with a prior cesarean delivery,
presenting for routine pregnancy viability assessment. Ultrasonography
demonstrated a live gestational sac implanted within the anterior lower uterine
segment at the site of the previous cesarean scar, with marked thinning of the
overlying myometrium measuring approximately 2 mm. The imaging findings enabled
differentiation from cervical pregnancy and abortion in progress. Surgical
excision of the cesarean scar ectopic pregnancy confirmed the preoperative
diagnosis. This case highlights the pivotal role of first-trimester ultrasound
in identifying characteristic features of CSP and facilitating timely
management to prevent potentially life-threatening maternal
complications.
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Pages:37-40
How to cite this article:
Dr. Manasa Prakash, Dr. Siddharth Pandey, Dr. Yashaswi, Dr. Sahana A, Dr. Vidhya Rani R "Scar wars: A viable cesarean scar pregnancy mimicking cervical pregnancy and abortion in progress diagnostic clues from First-Trimester Ultrasound". International Journal of Radiology Research, Vol 8, Issue 2, 2026, Pages 37-40
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