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

OBJECTIVE

To present a case of cesarean scar ectopic pregnancy (CSEP) successfully diagnosed and treated with a laparoscopic local injection of 100 mg etoposide under transvaginal ultrasound assistance.

DESIGN

Case report.

SETTING

University-affiliated teaching hospital.

PATIENT(S): A 37-year-old woman with CSEP.

INTERVENTION(S): Local injection of 100 mg etoposide.

MAIN OUTCOME MEASURE(S): Serial serum levels of beta-hCG and return of normal menstruation.

RESULT(S): Serial serum beta-hCG levels were 572.2 mIU/mL before operation, 340.7 mIU/mL on the first postoperative day, 28.1 mIU/mL on postoperative day 9, and 5 mIU/mL on postoperative day 17. Menstruation was initiated on postoperative day 45.

CONCLUSION(S): Use of laparoscopic local injection of 100 mg etoposide with transvaginal ultrasound guidance might be an effective method for the management of CSEP.