Evidence map›Paper›PMID 41089194›Full record

ArticleExperimental and therapeutic medicine2025

Misdiagnosis analysis of uterine scar pregnancy after cesarean section.

Xiaoling Xin, Wenyan Cai, Yiru Hou, Kaili Wei, Xuan Peng, Ruirui Ma, Qian Sun, Jiaxi Yao

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Article in Experimental and therapeutic medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xiaoling XinDepartment of Obstetrics and Gynecology, 940th Hospital of The Joint Logistics Support Force of The Chinese People's Liberation Army, Lanzhou, Gansu 730050, P.R. China.
Wenyan CaiDepartment of Obstetrics and Gynecology, 940th Hospital of The Joint Logistics Support Force of The Chinese People's Liberation Army, Lanzhou, Gansu 730050, P.R. China.
Yiru HouDepartment of Clinical Medicine, Medical College, Hexi University, Zhangye, Gansu 734000, P.R. China.
Kaili WeiDepartment of Clinical Medicine, Medical College, Hexi University, Zhangye, Gansu 734000, P.R. China.
Xuan PengDepartment of Clinical Medicine, Medical College, Hexi University, Zhangye, Gansu 734000, P.R. China.
Ruirui MaDepartment of Clinical Medicine, Medical College, Hexi University, Zhangye, Gansu 734000, P.R. China.
Qian SunDepartment of Obstetrics and Gynecology, 940th Hospital of The Joint Logistics Support Force of The Chinese People's Liberation Army, Lanzhou, Gansu 730050, P.R. China.
Jiaxi YaoInstitute of Urology, Hexi University, Zhangye, Gansu 734000, P.R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Misdiagnosed uterine scar pregnancy after cesarean section can lead to serious consequences such as uterine rupture and hemorrhagic shock. The present study aimed to analyze the causes and treatment outcomes of misdiagnosed uterine scar pregnancy after cesarean section. A retrospective analysis was conducted on the clinical data of seven patients with cesarean scar pregnancy from the Department of Obstetrics and Gynecology at the 940th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army (Gansu, China) in order to analyze the causes of misdiagnosis and explore effective treatment methods. All seven cases were misdiagnosed as intrauterine pregnancy, wherein three were threatened with miscarriage of early pregnancy and four with embryonic arrest. In total, three patients experienced bleeding reaching volumes of 800-1,400 ml (cases 1, 4 and 6). After active bilateral uterine artery embolization (cases 1, 2, 4, 5 and 6), a combination of mifepristone and methotrexate was administered, and the patients' bleeding stopped after embolization treatment. These observations suggest that the use of medications or interventional embolization (cases 1, 2, 4, 5 and 6) followed by ultrasound-guided curettage can yield positive benefits and allow for full patient recovery.

Indexed as

misdiagnosispost-cesarean sectionscar pregnancy

Identifiers

PMID41089194
PMCPMC12516471

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