PMC6864124_01
Cesarean scar pregnancy. A. Transvaginal ultrasound imaging of the cesarean scar pregnancy. B. Magnetic resonance imaging of the cesarean scar pregnancy. C. Intraoperative view of the cesarean scar pregnancy.
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Transvaginal sonography (4-9 MHz transducer-Voluson S8, GE Healthcare, Austria) identified a gestational sac at the lower uterine segment at the level of the cesarean scar and possible trophoblastic circulation on Doppler examination (Fig. 1A). The suspected CSP was also confirmed by magnetic resonance imaging (MRI) (Fig. 1B). Since uterine rupture was suspected and the patient showed hemodynamic instability, an emergency laparotomy was performed and a purple mass was seen protruding through the lower uterine segment above the internal os (Fig. 1C).