Successful live births after surgical treatments for symptomatic cesarean scar pregnancies: Report of 3 cases

Gayoung Yang, Daeun Lee, Sara Lee, Kyungah Jeong

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

There is no current consensus on the best treatment modality for cesarean scar pregnancy (CSP) with favorable reproductive and pregnancy outcome. We treated 3 cases of symptomatic CSP with fetal cardiac activity. The first case underwent laparoscopic repair at 6 weeks' gestational age of unruptured CSP. The second patient underwent laparoscopic repair due to massive vaginal bleeding after suction curettage. Both patients conceived naturally 6 months later and underwent repeated cesarean section at term. These were successful live births although the second patient was treated with uterine artery embolization for postpartum hemorrhage. The last patient underwent emergency exploratory laparotomy due to ruptured CSP and delivered a preterm baby. Earlier surgical treatment of CSP is indicated for a subsequent successful pregnancy and live birth. The laparoscopic approach might be advisable prior to uterine rupture.

Original languageEnglish
Pages (from-to)208-212
Number of pages5
JournalGynecologic and Obstetric Investigation
Volume78
Issue number3
DOIs
StatePublished - 7 Nov 2014

Keywords

  • Cesarean scar pregnancy
  • Laparoscopic repair

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