Cesarean scar pregnancy treated by curettage and aspiration guided by laparoscopy

Shan-Rong Shu1, Xin Luo1, Zhi-Xin Wang1

  • 1Department of obstetrics and Gynecology, The First affiliated Hospital of JiNan University, HuangPu Road West, Guangzhou, People's Republic of China.

Pregnancy in a cesarean scar is the rarest form of an ectopic pregnancy. The treatment for cesarean scar pregnancy mainly includes systemic methotrexate and uterine artery embolization. Here, we reported a case of cesarean scar pregnancy treated by curettage and aspiration guided by laparoscopy. The treatment plan included two phases. Three days after a combination of methotrexate and mifepristone was administered, the gestational sac was removed under laparoscopy, which enabled a successful treatment for the unruptured ectopic pregnancy in a previous cesarean scar and made it possible to preserve the reproductive capability of the patient.