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Korean Journal of Obstetrics & Gynecology 2008;51(7):795-799.
Published online July 1, 2008.
A case of ectopic pregnancy in the previous cesarean section scar treated by transvaginal hysterotomy.
Soo Kyung Park, Young Jin Kim, Soo Nyung Kim, Han Sung Kwon, In Sook Sohn, Sun Joo Lee, Ji Young Lee
Department of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul, Korea. snkim@kuh.ac.kr
Abstract
Implantation of a pregnancy within the scar of previous cesarean section is the rarest form of ectopic pregnancy. Delayed diagnosis and treatment can lead to uterine rupture, hemorrhage and maternal morbidity. But diagnosed early by transvaginal sonography, treatment options are capable of preserving the uterus and subsequent fertility. Suction curettage, exploratory laparotomy, laparoscopic surgery, systemic or local injection of methotrexate is the treatment method currently performed. In this report, we treated a case of this patient by transvaginal hysterotomy. This is the first case report in the recent literature. By this surgery, we could successfully remove gestational sac from the implantation site and repair the defect by primary suture and preserve uterus.
Key Words: Ectopic pregnancy, Cesarean section scar, Transvaginal hysterotomy


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