Document Detail

Laparoscopic Treatment of Cesarean Scar Ectopic Pregnancy.
MedLine Citation:
PMID:  25336858     Owner:  NLM     Status:  Publisher    
Background: An ectopic pregnancy within a Cesarean scar represents a rare type of extrauterine pregnancy in which the fertilized egg nidates in the myometrium of the uterine wall within a scar left from a previous Cesarean delivery. An unrecognized growing Cesarian scar pregnancy may result in uterine rupture, uncontrollable metrorrhagia, and bleeding into the abdominal cavity; therefore, early diagnosis and therapy are necessary to prevent the development of severe complications. Case: A 34-year-old woman after a previous Cesarean delivery presented with amenorrhoa of 7 weeks' duration. Transvaginal ultrasonography revealed an ectopic pregnancy in the Cesarean scar, and a laparoscopic removal of the gestational sac was performed with no complications. Results: Three months later, another laparoscopy with chromopertubation showed no signs of penetration in the suture, both the Fallopian tubes being bilaterally passable. The patient was advised that she could try to achieve pregnancy through spontaneous conception, after which monitoring of the gestational development and a careful assessment of the nidation site would be needed. Conclusions: Laparoscopic surgical management of a viable ectopic pregnancy is technically simple, and is followed by a good recovery. (J GYNECOL SURG 30:309).
Robert Hudeček; Zuzana Felsingerová; Michal Felsinger; Eva Jandakova
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Publication Detail:
Journal Detail:
Title:  Journal of gynecologic surgery     Volume:  30     ISSN:  1042-4067     ISO Abbreviation:  J Gynecol Surg     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-10-22     Completed Date:  -     Revised Date:  2014-10-23    
Medline Journal Info:
Nlm Unique ID:  9000936     Medline TA:  J Gynecol Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  309-311     Citation Subset:  -    
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