Korean J Obstet Gynecol.  2008 Jul;51(7):795-799.

A case of ectopic pregnancy in the previous cesarean section scar treated by transvaginal hysterotomy

Affiliations
  • 1Department of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul, Korea. snkim@kuh.ac.kr

Abstract

Implantation of a pregnancy within the scar of previous cesarean section is the rarest form of ectopic pregnancy. Delayed diagnosis and treatment can lead to uterine rupture, hemorrhage and maternal morbidity. But diagnosed early by transvaginal sonography, treatment options are capable of preserving the uterus and subsequent fertility. Suction curettage, exploratory laparotomy, laparoscopic surgery, systemic or local injection of methotrexate is the treatment method currently performed. In this report, we treated a case of this patient by transvaginal hysterotomy. This is the first case report in the recent literature. By this surgery, we could successfully remove gestational sac from the implantation site and repair the defect by primary suture and preserve uterus.

Keyword

Ectopic pregnancy; Cesarean section scar; Transvaginal hysterotomy

MeSH Terms

Cesarean Section
Cicatrix
Delayed Diagnosis
Female
Fertility
Gestational Sac
Hemorrhage
Humans
Hysterotomy
Laparoscopy
Laparotomy
Methotrexate
Pregnancy
Pregnancy, Ectopic
Sutures
Uterine Rupture
Uterus
Vacuum Curettage
Methotrexate
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