Sonographic Appearance of a Cesarean Scar Pregnancy with Placenta Percreta Invading the Bladder in the First Trimester and Management with Fertility Preservation

摘要

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. (C) 2016 Wiley Periodicals, Inc.