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Treatment of viable cesarean scar ectopic pregnancy with suction curettage
Author(s) -
Arslan M.,
Pata O.,
Dilek T.U.K.,
Aktas A.,
Aban M.,
Dilek S.
Publication year - 2005
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2004.12.038
Subject(s) - medicine , curettage , ectopic pregnancy , suction , obstetrics , pregnancy , surgery , mechanical engineering , genetics , engineering , biology
Objective Pregnancy in previous cesarean scar is the rarest form of ectopic pregnancy. All reported cases in the literature that were treated with uterine curettage either become unsuccessful or complicated. We aimed to present a case of cesarean scar ectopic pregnancy that was successfully treated with suction curettage without any additional therapy. Case A 32‐year‐old asymptomatic woman, gravida 2, para 1 was referred to our hospital with the possible diagnosis of cervical ectopic pregnancy. Transvaginal and transabdominal sonographic examination revealed the diagnosis of viable ectopic pregnancy in a previous cesarean scar. Suction curettage with carman canulles was performed under transabdominal ultrasonographic guidance. β‐hCG decreased progressively postoperatively. Conclusion Suction curettage under ultrasonography guidance can be used in termination of selected cases (early diagnosed, without symptoms that necessitates emergency intervention) of cesarean scar pregnancy.