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Table 2 Clinical and US findings at presentation for the 6 patients of the case series diagnosed with CSP

From: Combination of medical and surgical management in successful treatment of caesarean scar pregnancy: a case report series

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
  1. US ultrasound, CSP caesarean scar pregnancy, TVUS transvaginal ultrasound