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Cesarean scar pregnancy treated by curettage and aspiration guided by laparoscopy

Authors Shu S, Luo X, Wang Z, Yao Y

Received 4 April 2015

Accepted for publication 3 June 2015

Published 3 August 2015 Volume 2015:11 Pages 1139—1141

DOI https://doi.org/10.2147/TCRM.S86083

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Editor who approved publication: Professor Deyun Wang

Shan-rong Shu, Xin Luo, Zhi-xin Wang, Yu-hong Yao

Department of Obstetrics and Gynecology, The First Affiliated Hospital of JiNan University, HuangPu Road West, Guangzhou, People’s Republic of China

Abstract: 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.

Keywords: cesarean scar pregnancy, laparoscopy, curettage and aspiration
 

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