Open AccessCesarean scar pregnancy combined with arteriovenous malformation successfully treated with transvaginal fertility-sparing surgery
Author(s) -
Xiangjuan Li,
Wenchao Sun,
Lingna Chen,
Mei Jin,
Zhifen Zhang,
Jiansong Gao,
Xiaoyang Fei
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000021432
Subject(s) - medicine , hysterectomy , arteriovenous malformation , surgery , pregnancy , ectopic pregnancy , fertility , conservative treatment , methotrexate , magnetic resonance imaging , gestation , radiology , population , genetics , environmental health , biology
A cesarean scar pregnancy (CSP), when combined with an arteriovenous malformation (AVM), is a rare, but potentially life-threatening condition that may be associated with uncontrolled hemorrhage. Hysterectomy is indicated when conservative treatment fails. Preservation of fertility is challenging. Patient concerns: We reported a 33-year-old woman with a CSP combined with an AVM who failed methotrexate administration as conservative treatment. Diagnoses: A CSP combined with an AVM was diagnosed via three-dimensional color Doppler angiogram and magnetic resonance imaging. Interventions: Transvaginal removal of the ectopic gestation and repair of the uterine defect was performed without incident. Outcomes: The fertility of the patient was preserved and hysterectomy was avoided. Conclusion: Transvaginal fertility-sparing surgery may be successfully performed to prevent hysterectomy when conservative treatment fails in patients with a CSP combined with an AVM.