[Laparoscopic management of an ectopic pregnancy in a previous caesarean section scar]

Przemysław Spychała1, Błazej Nowakowski

  • 1SZOZ nad Matka i Dzieckiem w Poznaniu, Oddział Ginekologiczno-Połozniczy, Poznań. spychala@echostar.pl

Ginekologia Polska
|January 25, 2013
PubMed

Pregnancy in a caesarean section scar is the rarest form of an ectopic pregnancy English language literature up to 2007 reports only about 70 cases, including three cases treated laparoscopically. A 25-year-old woman in the sixth week of pregnancy was admitted to our hospital due to profuse vaginal bleeding. During clinical and ultrasound tests, an unruptured ectopic pregnancy of 6 gestational weeks was found in the caesarean section scar. The treatment plan included two phases. Three days after a Methotrexate injection (80mg), the pregnancy was removed laparoscopically Laparoscopy enabled a successful treatment of the unruptured ectopic pregnancy in a previous caesarean scar and made it possible to preserve the reproductive capability of the patient.

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