Successful treatment of cesarean scar pregnancy using laparoscopically assisted local injection of etoposide with transvaginal ultrasound guidance

Fertility and Sterility

Volumn 92, Issue 5, 2009, Pages 1747.e9-1747.e11

  Chen, Ching Hui ^a   Wang, Peng Hui ^b   Liu, Wei Min ^a  

^a TAIPEI MEDICAL UNIVERSITY HOSPITAL   (Taiwan)

^b TAIPEI VETERANS GENERAL HOSPITAL   (Taiwan)

Author keywords

cesarean scar ectopic pregnancy; Etoposide; laparoscopy; transvaginal ultrasound

Indexed keywords

CHORIONIC GONADOTROPIN BETA SUBUNIT; ETOPOSIDE;

ADULT; ARTICLE; CASE REPORT; CAUTERIZATION; CESAREAN SCAR ECTOPIC PREGANCY; CESAREAN SCAR ECTOPIC PREGNANCY; CESAREAN SECTION; CLINICAL EVALUATION; CLINICAL FEATURE; DILATION AND EVACUATION; ECTOPIC PREGNANCY; ELECTIVE SURGERY; FEMALE; HUMAN; HYSTEROSCOPY; INJECTION; LAPAROSCOPIC SURGERY; LAPAROSCOPY; MENSTRUATION; OUTCOME ASSESSMENT; POSTOPERATIVE PERIOD; PREGNANCY; PRIORITY JOURNAL; PUNCTURE; SURGICAL TECHNIQUE; TRANSVAGINAL ECHOGRAPHY; TREATMENT DURATION; TREATMENT OUTCOME; UNIVERSITY HOSPITAL; VAGINA BLEEDING;

ABORTIFACIENT AGENTS; ADULT; CESAREAN SECTION; CICATRIX; ETOPOSIDE; FEMALE; HUMANS; INJECTIONS, INTRALESIONAL; LAPAROSCOPY; PREGNANCY; PREGNANCY, ECTOPIC; TREATMENT OUTCOME; ULTRASONOGRAPHY, INTERVENTIONAL; VAGINA;

EID: 70350567178     PISSN: 00150282     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.fertnstert.2009.08.021     Document Type: Article

References (15)

1. Arslan M., Pata O., Dilek T.U., Aktas A., Aban M., and Dilek S. Treatment of viable cesarean scar ectopic pregnancy with suction curettage. Int J Gynaecol Obstet 89 (2005) 163-166
2. Wang C.B., and Tseng C.J. Primary evacuation therapy for cesarean scar pregnancy: three new cases and review. Ultrasound Obstet Gynecol 27 (2006) 222-226
3. Wang Y.L., Su T.H., and Chen H.S. Operative laparoscopy for unruptured ectopic pregnancy in a caesarean scar. Br J Obstet Gynecol 113 (2006) 1035-1038
4. Hwu Y.M., Hsu C.Y., and Yang H.Y. Conservative treatment of caesarean scar pregnancy with transvaginal needle aspiration of the embryo. Br J Obstet Gynecol 112 (2005) 841-842
5. Ravhon A., Ben-Chetrit A., Rabinowitz R., Neuman M., and Beller U. Successful methotrexate treatment of a viable pregnancy within a thin uterine scar. Br J Obstet Gynaecol 104 (1997) 628-629
6. Chen C.L., Wang P.H., Chiu L.M., Yang M.L., and Hung J.H. Successful conservative treatment for advanced interstitial pregnancy. A case report. J Reprod Med 47 (2002) 424-426
7. Juan Y.C., Wang P.H., Chen C.H., Ma P.C., and Liu W.M. Successful treatment of ovarian pregnancy with laparoscopy-assisted local injection of etoposide. Fertil Steril 90 (2008) 1200 e1-2
8. Seki H., Kuromaki K., Takeda S., and Kinoshita K. Ovarian pregnancy diagnosed in the third trimester: a case report. J Obstet Gynaecol Res 23 (1997) 543-546
9. Takashima M., Yamasaki M., Fujita I., Ohashi M., Matsuo H., Mochizuki M., et al. Enhanced magnetic resonance imaging in monitoring of conservative treatment of cervical pregnancy. J Obstet Gynaecol (Tokyo 1995) 21 (1995) 545-550
10. Deans R, Abbott J. Hysteroscopic management of cesarean scar ectopic pregnancy. Fertil Steril. In press.
11. Wang JH, Xu KH, Lin J, Xu JY, Wu RJ. Methotrexate therapy for cesarean section scar pregnancy with and without suction curettage. Fertil Steril. In press.
12. Vial Y., Petignat P., and Hohlfeld P. Pregnancy in a cesarean scar. Ultrasound Obstet Gynecol 16 (2000) 592-593
13. Wang C.J., Chao A.S., Yuen L.T., Wang C.W., Soong Y.K., and Lee C.L. Endoscopic management of cesarean scar pregnancy. Fertil Steril 85 (2006) 494 e1-4
14. Korkontzelos I., Tsirkas P., Antoniou N., Souliotis D., and Kosmas I. Successful term pregnancy after treatment of a cesarean scar ectopic gestation by endoscopic technique and conservative therapy. Fertil Steril 90 (2008) 2010 e13-5
15. Matsui H., Suzuka K., Yamazawa K., Tanaka N., Mitsuhashi A., Seki K., et al. Relapse rate of patients with low-risk gestational trophoblastic tumor initially treated with single-agent chemotherapy. Gynecol Oncol 96 (2005) 616-620