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Fertil Steril. 2008 Nov;90(5):2010.e13-5. doi: 10.1016/j.fertnstert.2008.04.027. Epub 2008 Aug 3.

Successful term pregnancy after treatment of a cesarean scar ectopic gestation by endoscopic technique and conservative therapy.

Author information

  • 1Department of Obstetrics and Gynecology, Ioannina State General Hospital G Chatzikosta, Ioannina, Greece. i.korkontzelos@yahoo.com

Abstract

OBJECTIVE:

To describe a case of cesarean scar pregnancy treated successfully by endoscopic technique and medical therapy.

DESIGN:

Case report.

SETTING:

State general hospital in a major city.

PATIENT(S):

A 32-year-old woman with two cesarean sections and a recent curettage presented with ectopic cesarean scar pregnancy.

INTERVENTION(S):

Transvaginal ultrasound and hysteroscopy were used for diagnosis, and conservative therapy with methotrexate and hysteroscopy to treat the patient.

MAIN OUTCOME MEASURE(S):

Modified hysteroscopic technique and outcome.

RESULT(S):

Sonography and hysteroscopy revealed the presence of a gestational sac in the lower segment of the uterus in a patient with a cesarean section scar. She was successfully treated with systemic methotrexate and aspiration of the sac and local methotrexate injection under endoscopic control.

CONCLUSION(S):

Endoscopic intervention combined with medical treatment can result in a good therapeutic outcome with preservation of fertility in early ectopic cesarean scar pregnancy.

PMID:
18675975
[PubMed - indexed for MEDLINE]
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