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Published on: September 12, 2025
Surgical management of cesarean scar ectopic pregnancy: hysterotomy by transvaginal approach
So-Yeon Kang1, Byung-Joon Park, Yong-Wook Kim
1Department of Obstetrics and Gynecology, The Catholic University of Korea, Incheon St. Mary's Hospital, Incheon, South Korea.
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.
