PMC5768181_01
Transvaginal ultrasound scan showing empty uterine cavity and empty cervical canal with a gestational sac in anterior myometrium of lower uterine segment.
tcrm-14-117Fig1.jpg
PMC5768181_01_tcrm-14-117Fig1.jpg
f1-tcrm-14-117
The transvaginal sonography revealed empty uterine cavity and empty cervical canal with a gestational sac in the anterior myometrium of lower uterine segment (Figure 1).
Digital subtraction angiogram images from the patient with CSP who was treated using transcatheter uterine arterial embolization.. Notes: (A) The left uterine artery and its branch vessels were revealed before embolization. (B) The left uterine artery and its branch vessels were not revealed after embolization. (C) The right uterine artery and its branch vessels were revealed before embolization. (D) The right uterine artery and its branch vessels were not revealed after embolization.. Abbreviation: CSP, cesarean scar pregnancy.
tcrm-14-117Fig2.jpg
PMC5768181_01_tcrm-14-117Fig2.jpg
f2-tcrm-14-117
So the next day, the patient's uterine artery was selectively catheterized using a Rosch hepatic catheter and was embolized using gel foam sponge particles (900-1,200 mum, Figure 2).
Computed tomography pulmonary angiogram scan showed extensive filling defects in pulmonary artery.. Notes: (A) Defects in the pulmonary trunk artery; (B) defects in the left and right trunk of pulmonary arteries; (C) defects in pulmonary trunk and branch embolization (coronary position). The arrows show the thrombus in pulmonary artery.
tcrm-14-117Fig3.jpg
PMC5768181_01_tcrm-14-117Fig3.jpg
f3-tcrm-14-117
The subsequent urgent bedside electrocardiography (ECG) showed abnormal Q wave in III and aVF, and the computed tomography pulmonary angiogram scan showed extensive filling defects in the pulmonary trunk artery, the left and right trunk of pulmonary arteries, upper and lower arteries of the left pulmonary lobe, and lower artery of the right pulmonary lobe (Figure 3).