Laparoscopic management of caesarean scar ectopic pregnancy:  a case report

Nazer Thalamkandathil; Rasheeda Beegum; Beegum Hasooriya

doi:10.18203/2320-1770.ijrcog20150114

Authors

Nazer Thalamkandathil Department of Gynecology & Obstetrics, Malabar Institute of Medical Sciences, PO Govindapuram, Calicut-673016 Kerala, India
Rasheeda Beegum Department of Gynecology & Obstetrics, Malabar Institute of Medical Sciences, PO Govindapuram, Calicut-673016 Kerala, India
Beegum Hasooriya Department of Gynecology & Obstetrics, Malabar Institute of Medical Sciences, PO Govindapuram, Calicut-673016 Kerala, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20150114

Keywords:

Caesarean section, Ectopic pregnancy, Laparoscopy

Abstract

A 30-year-old G5P2A2 woman was diagnosed to have ectopic pregnancy at the caesarean scar site on routine ultrasound scan followed by Doppler blood flow evaluation. It was managed successfully by laparoscopic resection. Ectopic pregnancy in a caesarean scar is a rare entity. It is important to diagnose the condition as early as possible in order to administer appropriate, timely treatment and to avoid complications. The optimal treatment of caesarean section scar ectopic pregnancies is unknown successfully by laparoscopic resection followed by endosuturing and this enabled uterine preservation.

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References

Sadeghi H, Rutherford T, Rackow BW. Caesarean scar ectopic pregnancy. Case reviews of literature Am J Perinatol. 2010;27(2):111.

Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol. 2006;107:1373-81.

Vial Y, Petignat P, Hohlfeld P. Pregnancy in a cesarean scar. Ultrasound Obstet Gynecol. 2000;16:592-3.

Chyi-Long Lee, Chin-Jung Wang, Angel Chao. Laparoscopic management of ectopic pregnancy in a previous caesarean scar. Hum Reprod. 1999;14(5):1234-6.

Zhuang Y, Hyang L. Uterine artery embolization compared with Methotrexate for the management of pregnancy implanted within caesarean section scar Am J Obstet Gynecol. 2009;49(5):451.