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

Ginekol Pol. 2012 Aug;83(8):622-5.
[Article in Polish]

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cesarean Section / adverse effects*
  • Cicatrix / complications*
  • Female
  • Humans
  • Laparoscopy / methods
  • Methotrexate / therapeutic use
  • Pregnancy
  • Pregnancy, Ectopic / diagnostic imaging
  • Pregnancy, Ectopic / etiology*
  • Pregnancy, Ectopic / therapy*
  • Treatment Outcome
  • Ultrasonography

Substances

  • Methotrexate