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

Journal: Fertility And Sterility
Published:
Abstract

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

Methods: Case report. Methods: State general hospital in a major city. Methods: A 32-year-old woman with two cesarean sections and a recent curettage presented with ectopic cesarean scar pregnancy. Methods: Transvaginal ultrasound and hysteroscopy were used for diagnosis, and conservative therapy with methotrexate and hysteroscopy to treat the patient. Methods: Modified hysteroscopic technique and outcome.

Results: 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.

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

Authors
Ioannis Korkontzelos, Panagiotis Tsirkas, Nikolaos Antoniou, Dimitrios Souliotis, Ioannis Kosmas
Relevant Conditions

Ectopic Pregnancy, Endoscopy