title: Laparoscopic management of heterotopic cesarean scar pregnancy with preservation of intrauterine gestation and delivery at term: case report.
abstract: 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.
authors: Department of Obstetrics and Gynecology, Acibadem Health Group, Istanbul, Turkey. cdemirel@asg.com.tr
authors: L Cem
authors: LC
authors: Demirel
authors: Harika
authors: H
authors: Bodur
authors: Belgin
authors: B
authors: Selam
authors: Arda
authors: A
authors: Lembet
authors: Tolga
authors: T
authors: Ergin
mesh_terms: 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