Outcomes of primary surgical evacuation during the first trimester in different types of implantation in women with cesarean scar pregnancy  Ling-Yun Cheng, M.D., Chen-Bin Wang, M.D., Li-Ching Chu, M.D., Chih-Wen Tseng, M.D., Fu-Tsai Kung, M.D.  Fertility and Sterility  Volume 102, Issue 4, Pages 1085-1090.e2 (October 2014) DOI: 10.1016/j.fertnstert.2014.07.003 Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Superficially implanted Cesarean scar pregnancies. (A) Schematic representation of a gestational sac surrounding the myometrial defect with a bulging toward the endometrial cavity. (B) A dumbbell-shaped gestational sac of gestational age 5 weeks in a low-segment uterine scar defect. (C) Hysteroscopy with the use of fluid medium, showing an ectopic gestation hanging from the anterior uterine defect. Fertility and Sterility 2014 102, 1085-1090.e2DOI: (10.1016/j.fertnstert.2014.07.003) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Deeply implanted cesarean scar pregnancies. (A) Schematic drawing illustrating the invasion of gestational trophoblasts through a microdehiscence, well circumscribed by the myometrial tissues of the uterus. (B) Color Doppler image showing extensive neovascularization encircling the gestational sac. Fertility and Sterility 2014 102, 1085-1090.e2DOI: (10.1016/j.fertnstert.2014.07.003) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

Figure 3 Patient flow chart showing the disposition of our study population. Fertility and Sterility 2014 102, 1085-1090.e2DOI: (10.1016/j.fertnstert.2014.07.003) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions