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Fertil Steril. 2011 Jul;96(1):e25-8. doi: 10.1016/j.fertnstert.2011.04.025. Epub 2011 May 7.

Surgical management of cesarean scar ectopic pregnancy: hysterotomy by transvaginal approach.

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  • 1Department of Obstetrics and Gynecology, The Catholic University of Korea, Incheon St. Mary's Hospital, Incheon, South Korea.

Abstract

OBJECTIVE:

To report on the surgical management of a cesarean scar ectopic pregnancy (CSEP) by transvaginal hysterotomy.

DESIGN:

Case report.

SETTING:

University hospital.

PATIENT(S):

A 29-year-old woman, with previous cesarean delivery, presenting with vaginal bleeding, was transferred to our hospital at 5 weeks 4 days of gestation. Transvaginal ultrasonography confirmed the diagnosis of CSEP.

INTERVENTION(S):

Hysterotomy by transvaginal approach of the CSEP.

MAIN OUTCOME MEASURE(S):

During the operation, there were no significant complications. Postoperative ultrasonography showed complete disappearance of the ectopic gestational sac.

RESULT(S):

Good recovery of the patient and return of normal menstruation.

CONCLUSION(S):

Surgical removal of the ectopic mass by transvaginal hysterotomy may be a less invasive approach in cases of CSEP. This case report offers an alternative treatment to other proposed methods for CSEP, with a short operative time and minimum blood loss.

Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

PMID:
21550036
[PubMed - indexed for MEDLINE]
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