A novel surgical treatment for cesarean scar pregnancy: laparoscopically assisted operative hysteroscopy.

OBJECTIVE

To describe laparoscopically assisted hysteroscopy as a unique surgical intervention for a cesarean section scar ectopic pregnancy.

DESIGN

Case report.

SETTING

University hospital.

PATIENT(S): A 44-year-old woman, pregnant at 5 weeks and 6 days' gestational age with a cesarean section scar ectopic pregnancy.

INTERVENTION(S): The patient underwent serial transvaginal ultrasound examinations with Doppler flow studies, followed by a laparoscopically assisted operative hysteroscopy for evacuating the cesarean scar ectopic pregnancy.

MAIN OUTCOME MEASURE(S): Conservation of the uterus, fertility preservation.

RESULT(S): Successful conservative surgical treatment of cesarean section scar ectopic pregnancy.

CONCLUSION(S): Conservative laparoscopically assisted operative hysteroscopy can be used successfully in hemodynamically stable patients with a cesarean section scar ectopic pregnancy.