Open AccessSuccessful conservative treatment of cesarean scar ectopic pregnancy with local injections of absolute ethanol
Author(s) -
Toshiyuki Kakinuma,
Katsumi Kakinuma,
Yoshihisa Matsuda,
Kaoru Yanagida,
Hirotsune Kaijima,
Michitaka Ohwada
Publication year - 2021
Publication title -
gynecology and minimally invasive therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.441
H-Index - 12
eISSN - 2213-3089
pISSN - 2213-3070
DOI - 10.4103/gmit.gmit_125_19
Subject(s) - medicine , ectopic pregnancy , pregnancy , ultrasonography , magnetic resonance imaging , human chorionic gonadotropin , cesarean delivery , surgery , ultrasound , radiology , genetics , biology , hormone
Cesarean scar ectopic pregnancy (CSEP) is becoming more common worldwide. Here, we report a case of cesarean scar pregnancy successfully treated using transvaginal ethanol injection. A 31-year-old female (gravida 3, para 2) with two prior cesarean sections presented at 9 weeks and 3 days of pregnancy. Her serum human chorionic gonadotropin level was 91,798 mIU/mL. CSEP was confirmed by transvaginal ultrasonography, pelvic magnetic resonance imaging, and color Doppler ultrasonography. Transvaginal absolute ethanol local injection under transvaginal ultrasound guidance was performed. She was discharged 7 days after treatment with no complications and resumed normal menses 1 month after treatment. We describe a safe and successful treatment option for CSEP.