Successful treatment of cesarean scar pregnancy using laparoscopically assisted local injection of etoposide with transvaginal ultrasound guidance.
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.
Chen
Ching-Hui
CH
Department of Obstetrics and Gynecology, Taipei Medical University Hospital and Taipei Medical University, Taipei, Taiwan.
Wang
Peng-Hui
PH
Liu
Wei-Min
WM
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*
D000019:Abortifacient Agents; D005047:Etoposide