症例 challenge · Surgical approach decision / Gynecology / Emergency · teaching

Cesarean Scar Pregnancy (CSP) · Management · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on SMFM #63 2022

Case #1Surgical approach decision / Gynecology / Emergency

📋 Case data

Hemodynamics + growth direction + fertility wishStable, growing toward the cavity (endogenic), reasonable residual myometrium

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Hemodynamics + growth direction + fertility wish

Hemodynamics/rupture? Toward the cavity (endogenic) vs deep toward bladder/serosa (exogenic)? Fertility wish?

💡 Early diagnosis by TVUS (Timor-Tritsch criteria); histology is the same as placenta accreta spectrum (PAS); early termination is strongly advised to avoid progression to morbidly adherent/accreta.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.