A case of ectopic pregnancy in the previous Cesarean section scar treated by laparoscopic surgery.

Lee, Jung Han; Kim, Seong Hee; Lee, Jung Eun; Han, Ji Woon; Kim, Seung Ryong; Cho, Sam Hyun

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(9):2012-2017.
Published online September 1, 2006.

A case of ectopic pregnancy in the previous Cesarean section scar treated by laparoscopic surgery.

Jung Han Lee, Seong Hee Kim, Jung Eun Lee, Ji Woon Han, Seung Ryong Kim, Sam Hyun Cho

Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, Korea. kimsr@hanyang.ac.kr

Abstract

Pregnancy in the previous Cesarean section scar is a very rare form of ectopic pregnancy. This ectopic pregnancy may cause grave complications such as severe vaginal bleeding or spontaneous uterine rupture. Suction curettage, exploratory laparotomy, or systemic or local injection of methotrexate is the treatment method currently performed. In this report, we treat a case of this patient by laparoscopic surgery. 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: Cesarean section scar, Ectopic pregnancy, Laparoscopic surgery