title: Successful treatment of cesarean scar pregnancy using laparoscopically assisted local injection of etoposide with transvaginal ultrasound guidance.
abstract: OBJECTIVE
  To present a case of cesarean scar ectopic pregnancy (CSEP) successfully diagnosed and treated with a laparoscopic local injection of 100 mg etoposide under transvaginal ultrasound assistance.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University-affiliated teaching hospital.
  
  
  METHODS
  A 37-year-old woman with CSEP.
  
  
  METHODS
  Local injection of 100 mg etoposide.
  
  
  METHODS
  Serial serum levels of beta-hCG and return of normal menstruation.
  
  
  RESULTS
  Serial serum beta-hCG levels were 572.2 mIU/mL before operation, 340.7 mIU/mL on the first postoperative day, 28.1 mIU/mL on postoperative day 9, and 5 mIU/mL on postoperative day 17. Menstruation was initiated on postoperative day 45.
  
  
  CONCLUSIONS
  Use of laparoscopic local injection of 100 mg etoposide with transvaginal ultrasound guidance might be an effective method for the management of CSEP.
authors.affiliation: Department of Obstetrics and Gynecology, Taipei Medical University Hospital and Taipei Medical University, Taipei, Taiwan.
authors.forename: Ching-Hui
authors.initials: CH
authors.lastname: Chen
authors.forename: Peng-Hui
authors.initials: PH
authors.lastname: Wang
authors.forename: Wei-Min
authors.initials: WM
authors.lastname: Liu
mesh_terms: D000019:Abortifacient Agents / Q000008:administration & dosage; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix; D005047:Etoposide / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D015552:Injections, Intralesional / Q000379:methods; D010535:Laparoscopy / Q000379:methods; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods; D014621:Vagina / Q000000981:diagnostic imaging*
chemical_list: D000019:Abortifacient Agents; D005047:Etoposide