Cesarean scar pregnancy treated by curettage and aspiration guided by laparoscopy

• Main Authors: Shu S, Luo X, Wang Z, Yao Y
• Format: Article
• Language: English
• Published: Dove Medical Press 2015-08-01
• Series: Therapeutics and Clinical Risk Management
• Online Access: http://www.dovepress.com/cesarean-scar-pregnancy-treated-by-curettage-and-aspiration-guided-by--peer-reviewed-article-TCRM

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