title: Surgical management of cesarean scar ectopic pregnancy: hysterotomy by transvaginal approach.
abstract: OBJECTIVE
  To report on the surgical management of a cesarean scar ectopic pregnancy (CSEP) by transvaginal hysterotomy.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 29-year-old woman, with previous cesarean delivery, presenting with vaginal bleeding, was transferred to our hospital at 5 weeks 4 days of gestation. Transvaginal ultrasonography confirmed the diagnosis of CSEP.
  
  
  METHODS
  Hysterotomy by transvaginal approach of the CSEP.
  
  
  METHODS
  During the operation, there were no significant complications. Postoperative ultrasonography showed complete disappearance of the ectopic gestational sac.
  
  
  RESULTS
  Good recovery of the patient and return of normal menstruation.
  
  
  CONCLUSIONS
  Surgical removal of the ectopic mass by transvaginal hysterotomy may be a less invasive approach in cases of CSEP. This case report offers an alternative treatment to other proposed methods for CSEP, with a short operative time and minimum blood loss.
authors.affiliation: Department of Obstetrics and Gynecology, The Catholic University of Korea, Incheon St. Mary's Hospital, Incheon, South Korea.
authors.forename: So-Yeon
authors.initials: SY
authors.lastname: Kang
authors.forename: Byung-Joon
authors.initials: BJ
authors.lastname: Park
authors.forename: Yong-Wook
authors.initials: YW
authors.lastname: Kim
authors.forename: Duck-Young
authors.initials: DY
authors.lastname: Ro
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D002921:Cicatrix / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D020883:Hysterotomy / Q000379:methods*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography; D014621:Vagina / Q000000981:diagnostic imaging / Q000601:surgery*