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Human Reproduction, Vol. 14, No. 5, 1234-1236, May 1999
© 1999 European Society of Human Reproduction and Embryology

Case Report:Laparoscopic management of an ectopic pregnancy in a previous Caesarean section scar

Chyi-Long Lee1, Chin-Jung Wang, Angel Chao, Chih-Feng Yen and Yung-Kuei Soong

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan, Taiwan

A case of laparoscopic management of an ectopic pregnancy in a previous Caesarean section scar is reported. A 30 year old woman was admitted to our hospital for profuse vaginal bleeding 2 weeks after an abortion had been performed. A urine pregnancy test was positive. Abdominal ultrasound revealed a well-encapsulated bulging mass over the lower anterior uterine wall measuring 7x5 cm. Hysteroscopy revealed retained gestational tissue in the lower corpus despite a normal uterine cavity. An incision was made over the most prominent area of the mass by operative laparoscopy. Dark reddish tissue suggestive of the products of conception was removed using grasping forceps. One-layer of continuous endoscopic sutures along the affected uterine wall was made with 1–0 Prolene. Laparoscopy enabled the successful treatment of an unruptured ectopic pregnancy in a previous Caesarean scar and made it possible to preserve the patient's reproductive capability.

Key words: Caesarean section scar/ectopic pregnancy/hysteroscopy/laparoscopy

1 To whom correspondence should be addressed


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