Cesarean scar pregnancy combined with arteriovenous malformation successfully treated with transvaginal fertility-sparing surgery: A case report and literature review

• Published in: Medicine (Baltimore) Vol. 99; no. 31; p. e21432
• Main Authors: Li, Xiangjuan, Sun, Wenchao, Chen, Lingna, Jin, Mei, Zhang, Zhifen, Gao, Jiansong, Fei, Xiaoyang
• Format: Journal Article
• Language: English
• Published: United States the Author(s). Published by Wolters Kluwer Health, Inc 31.07.2020; Wolters Kluwer Health
• Subjects: Adult; Angiography - methods; Antimetabolites, Antineoplastic - administration & dosage; Antimetabolites, Antineoplastic - therapeutic use; Arteriovenous Malformations - complications; Arteriovenous Malformations - diagnostic imaging; Arteriovenous Malformations - drug therapy; Arteriovenous Malformations - surgery; Cesarean Section - adverse effects; Cicatrix - pathology; Cicatrix - surgery; Clinical Case Report; Female; Fertility Preservation - methods; Humans; Imaging, Three-Dimensional - methods; Magnetic Resonance Imaging - methods; Methotrexate - administration & dosage; Methotrexate - therapeutic use; Pregnancy; Pregnancy, Ectopic - surgery; Treatment Outcome; Ultrasonography, Doppler, Color - methods

A cesarean scar pregnancy (CSP), when combined with an arteriovenous malformation (AVM), is a rare, but potentially life-threatening condition that may be associated with uncontrolled hemorrhage. Hysterectomy is indicated when conservative treatment fails. Preservation of fertility is challenging. W...