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A 29-year-old female patient had menopause for 42 days and a β-HCG blood test of 22,874.00 mIU/mL. Three-dimensional (3D) color ultrasonography indicated an approximately 3.5 cm × 1.2 cm × 1.2 cm gestational sac in the middle and lower uterine segment. The lower edge of this gestational sac was at the left antetheca incision at the lower uterine segment, and it rose toward the serosal surface. There were rich successive blood flow signals between the gestational sac and the left antetheca incision at the lower uterine segment. The thinnest part of the left antetheca incision was about 0.2 cm. We performed bilateral uterine artery pre-ligation, cesarean scar pregnancy resection, and lower uterine segment repair plastic surgery under single-port laparoscopy. Three days after the operation, blood reexamination of β-HCG was 1,968.00 mU/mL, and 1 week after discharge, it was 100.00 mU/mL.

Single-port laparoscopic bilateral uterine arteries pre-ligation, cesarean scar pregnancy resection, and lower uterine segment repair plastic surgery