Table 2 Clinical and US findings at presentation for the 6 patients of the case series diagnosed with CSP
Patient | TVUS findings: Uterus | TVUS findings: Gestational sac | TVUS findings: Myometrium at implantation site | Physical examination |
|---|---|---|---|---|
1 | Uterus size 59/58/65 mm Endometrium thickness 17 mm Empty uterine cavity | Gestational sac 32 mm No embryo seen | Gap in the myometrium of the anterior wall at the level of the CS scar, thickness of the myometrial wall 2.0 mm, no free fluid | Changes of pregnancy to vaginal mucosa, small quantity of dark blood in the vagina, closed cervix Soft cervix, closed os, slightly enlarged uterus, tender to palpation |
2 | Uterus size 57/55/62 mm Endometrium thickness 28 mm Empty uterine cavity | Gestational sac 20 mm Yolk sac present Embryo present Embryo heart rate not visualised | Gap in the myometrium of the anterior wall at the level of the CS scar, thickness of the myometrial wall 2.6 mm, no free fluid | Vulvovaginal mucosa with changes of pregnancy, moderate amount of blood in the vagina, cervix with os closed, uterus of 6 weeks size, non-tender to palpation |
3 | Uterus size 69/48/65 mm Endometrium thickness 12 mm Empty uterine cavity | Gestational sac 20.3 mm Embryo present Embryo cardiac activity present (96 b/min) | Gap in the myometrium of the anterior wall at the level of the CS scar, thickness of the myometrial wall 2.0 mm, no free fluid | Changes of pregnancy to vaginal mucosa, moderate amount of dark blood in the vagina, closed cervix Soft cervix, closed os, uterus slightly enlarged of approximately 5 weeks, tender to palpation, mild cervical excitation excitation |
4 | Uterus size of 59/58/65 mm Empty uterine cavity | Gestational sac present. Yolk sac was seen day 3 from admission, before starting medical manag. No embryo seen | Gap in the myometrium of the anterior wall at the level of the CS scar, thickness of the myometrial wall 2.6 mm, no free fluid | Vulvovaginal mucosa with changes of pregnancy, small amount of blood in the vagina, closed cervical os, slightly enlarged uterus, non-tender to palpation |
5 | Uterus size 58/56/69 mm Empty uterine cavity | Gestational sac 17/11 mm An embryo with CRL 4 mm was seen, no cardiac activity was present | Gap in the myometrium of the anterior wall at the level of the CS scar, thickness of the myometrial wall less than 3 mm, no free fluid | Changes of pregnancy, fresh blood in the vagina in moderate amount, cervix open, cervical excitation present, uterus increased in size approx. 8 weeks, tender |
6 | Uterus size 110/68/70 mm Empty uterine cavity | Irregular gestational sac of 23.3 mm with an embryo with CRL 14.8 mm. No cardiac activity was present | Gestational sac protruding into the anterior uterine wall at the isthmus. | No fresh blood in the vagina, normal appearance of the cervix with os closed, cervical excitation present, uterus increased in size approximately 8 weeks, very tender when mobilised, adnexa non-palpable bilaterally |