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Successful term pregnancy after treatment of a cesarean scar ectopic gestation by endoscopic technique and
Ioannis Korkontzelos1, Panagiotis Tsirkas, Nikolaos Antoniou
1Department of Obstetrics and Gynecology, Ioannina State General Hospital G Chatzikosta, Ioannina, Greece. i.korkontzelos@yahoo.com
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.
