Fertility and Sterility
Volume 90, Issue 5 , Pages 2010.e13-2010.e15 , November 2008

Successful term pregnancy after treatment of a cesarean scar ectopic gestation by endoscopic technique and conservative therapy

  • Ioannis Korkontzelos, M.D.

      Affiliations

    • Department of Obstetrics and Gynecology, Ioannina State General Hospital “G. Chatzikosta,” Ioannina, Greece
    • Corresponding Author InformationReprint requests: Ioannis Korkontzelos, M.D., Minimally Invasive Therapy Unit and Endoscopy Training Centre, University Department of Obstetrics and Gynaecology, Royal Free Hospital, Pond Street Hampstead, London NW3 2QG, England.
    • ,
  • Panagiotis Tsirkas, M.D.

      Affiliations

    • Department of Obstetrics and Gynecology, Ioannina State General Hospital “G. Chatzikosta,” Ioannina, Greece
    • ,
  • Nikolaos Antoniou, M.D., Ph.D.

      Affiliations

    • Department of Obstetrics and Gynecology, Ioannina State General Hospital “G. Chatzikosta,” Ioannina, Greece
    • ,
  • Dimitrios Souliotis, M.D.

      Affiliations

    • Department of Anesthesiology, Ioannina State General Hospital “G. Chatzikosta,” Ioannina, Greece
    • ,
  • Ioannis Kosmas, M.D.

      Affiliations

    • Department of Obstetrics and Gynecology, Ioannina State General Hospital “G. Chatzikosta,” Ioannina, Greece

Received 7 February 2008 ,Revised 12 April 2008 ,Accepted 12 April 2008.

References 

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  2. Maymon R, Halperin R, Mendlovic S, Schneider D, Vaknin Z, Herman A, et al. Ectopic pregnancies in caesarean section scars: the 8 year experience of one medical centre. Hum Reprod. 2004;19:278–284
  3. Maymon R, Halperin R, Mendlovic S, Schneider D, Herman A. Ectopic pregnancies in a caesarean scar: review of the medical approach to an iatrogenic complication. Hum Reprod. 2004;10:515–523
  4. Deb S, Clewes J, Hewer C, Raine-Fenning N. The management of cesarean scar ectopic pregnancy following treatment with methotrexate–a clinical challenge. Ultrasound Obstet Gynecol. 2007;30:889–892
  5. Pascual MA, Hereter L, Graupera B, Tresserra F. Three dimensional power Doppler ultrasound diagnosis and conservative treatment of ectopic pregnancy in a cesarean section scar. Fertil Steril. 2007;88:706
  6. Herman A, Weinraub Z, Avrech O, Maymon R, Ron-El R, Bukovsky Y. Follow up and outcome of isthmic pregnancy located in a previous caesarean scar. Br J Obstet Gynecol. 1995;102:839–841
  7. Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG. 2007;114:253–263
  8. Nawroht F, Foth D, Wilhelm L, Schmidt T, Warm M, Romer T. Conservative treatment of ectopic pregnancy in a cesarean section scar with methotrexate: a case report. Eur J Obstet Gynecol Reprod Biol 99:135–7.
  9. Seow KM, Cheng WC, Chuang J, Lee C, Tsai YL, Hwang JL. A cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol. 2004;23:247–253
  10. Jurkovic D, Hillaby K, Woelfer B, Lawrence A, Salim R, Elson CJ. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment cesarean section scar. Ultrasound Obstet Gynecol. 2003;21:220–227
  11. Shih JC. Cesarean scar pregnancy diagnosis with three-dimensional (3D) ultrasound and 3D power Doppler ultrasound. Obstet Gynecol. 2004;23:306–307
  12. Chuang J, Seow KM, Cheng WC, Tsai YL, Hwang JL. Conservative treatment of ectopic pregnancy in a caesarean section scar. Br J Obstet Gynecol. 2003;110:869–870
  13. Cheng PJ, Chueh HY, Soong YK. Sonographic diagnosis of a uterine defect in a pregnancy at 6 weeks of gestation with a history of curettage. Ultrasound Obstet Gynecol. 2003;21:501–503
  14. Vial Y, Petignat P, Hohlfeld P. Pregnancy in a cesarean scar. Ultrasound Obstet Gynecol. 2000;16:592–593
  15. Marchiole P, Gorlero F, De Caro G, Podesta M, Valenzano M. Intramural pregnancy embedded in a previous cesarean section scar treated conservatively. Ultrasound Obstet Gynecol. 2004;23:307–309
  16. Rotas MA, Haberman S, Levgur M. Caesarean scar ectopic pregnancies: etiology, diagnosis and management. Obstet Gynecol. 2006;107:1373–1377
  17. Godin PA, Bassil S, Donnez J. An ectopic pregnancy developing in a previous caesarean scar. Fertil Steril. 1997;67:398–400
  18. Wang CJ, Chao AS, Yuen LT, Wang CW, Soong YK, Lee CL. Endoscopic management of cesarean scar pregnancy. Fertil Steril. 2006;85:494
  19. Ravhon A, Ben-Chetrit A, Rabinowitz R, Newman M, Beller U. Successful methotrexate treatment of a viable pregnancy within a thin uterine scar. Br J Obstet Gynecol. 1997;104:628–629
  20. Fylstra DL, Pound-Chang T, Miller MG, Cooper A, Miller KM. Ectopic pregnancy within a cesarean delivery scar: a case report. Am J Obstet Gynecol. 2002;187:302–304
  21. Pascual MA, Ruiz J, Tresserra F, Sanuy C, Grases PJ, Tur R, et al. Cervical ectopic twin pregnany and conservative treatment. Hum Reprod. 2001;16:584–586
  22. Lee CL, Wang CJ, Chao A, Yen CF, Soong YK. Case Report: Laproscopic management of an ectopic pregnancy in a previous caesarean section scar. Hum Reprod. 1999;14:1234–1236

 I.K. has nothing to disclose. P.T. has nothing to disclose. N.A. has nothing to disclose. D.S. has nothing to disclose. I.K. has nothing to disclose.

PII: S0015-0282(08)00899-6

doi: 10.1016/j.fertnstert.2008.04.027

Fertility and Sterility
Volume 90, Issue 5 , Pages 2010.e13-2010.e15 , November 2008

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