Laparoscopic management of heterotopic cesarean scar pregnancy with preservation of intrauterine gestation and delivery at term: case report.
OBJECTIVE
To present a case of laparoscopic removal of a heterotopic cesarean scar pregnancy under ultrasound guidance.


METHODS
Case report.


METHODS
Private hospital.


METHODS
A 34-year-old woman with heterotopic cesarean scar pregnancy.


METHODS
Laparoscopic removal of heterotopic cesarean scar pregnancy.


METHODS
Delivery at term after laparoscopic management of heterotopic cesarean scar pregnancy.


RESULTS
An ongoing intrauterine pregnancy ended with a live birth after successful removal of the heterotopic gestational mass by a laparoscopic approach.


CONCLUSIONS
Surgical removal of the ectopic mass by laparoscopy may be a radical approach in cases of heterotopic cesarean scar pregnancy. Laparoscopic excision of the cesarean scar pregnancy gives the opportunity to preserve the viable intrauterine gestation while maintaining a strong lower uterine segment. Ultrasound is an adjunctive tool that enables precise location of the ectopic mass during the operation.
Demirel
L Cem
LC
Department of Obstetrics and Gynecology, Acibadem Health Group, Istanbul, Turkey. cdemirel@asg.com.tr
Bodur
Harika
H
Selam
Belgin
B
Lembet
Arda
A
Ergin
Tolga
T
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications / Q000209:etiology / Q000601:surgery*; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery; D011271:Pregnancy, Ectopic / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D011272:Pregnancy, Multiple; D047929:Term Birth / Q000502:physiology