Laparoscopic management of heterotopic cesarean scar pregnancy with preservation of intrauterine gestation and delivery at term: case report
Objective
To present a case of laparoscopic removal of a heterotopic cesarean scar pregnancy under ultrasound guidance.
Design
Case report.
Setting
Private hospital.
Patient(s)
A 34-year-old woman with heterotopic cesarean scar pregnancy.
Intervention(s)
Laparoscopic removal of heterotopic cesarean scar pregnancy.
Main Outcome Measure(s)
Delivery at term after laparoscopic management of heterotopic cesarean scar pregnancy.
Result(s)
An ongoing intrauterine pregnancy ended with a live birth after successful removal of the heterotopic gestational mass by a laparoscopic approach.
Conclusion(s)
Surgical removal of the ectopic mass by laparoscopy may be a radical approach in cases of heterotopic cesarean scar pregnancy. Laparoscopic excision of the cesarean scar pregnancy gives the opportunity to preserve the viable intrauterine gestation while maintaining a strong lower uterine segment. Ultrasound is an adjunctive tool that enables precise location of the ectopic mass during the operation.
Key Words: Heterotopic cesarean scar pregnancy, laparoscopy
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L.C.D. has nothing to disclose. H.B. has nothing to disclose. B.S. has nothing to disclose. A.L. has nothing to disclose. T.E. has nothing to disclose.
Presented at the 61st Annual Meeting of the American Society for Reproductive Medicine, October 14–19, 2005, Montreal, Quebec, Canada.
PII: S0015-0282(08)00161-1
doi:10.1016/j.fertnstert.2008.01.067
© 2009 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
