title: Minimally invasive surgery to manage a complicated case of a caesarean scar ectopic pregnancy.
abstract: A 30-year-old woman, gravida 3 para 1, presented at 5 weeks of amenorrhoea with vaginal spotting and mild abdominal pain. A transvaginal scan confirmed a caesarean scar pregnancy (CSP). Serum hCG level at presentation was 4357. She declined treatment initially, but eventually underwent laparoscopic-guided suction curettage and excision of CSP. hCG was undetectable at 5 weeks postoperatively. She had an uneventful recovery and was advised to take oral contraceptives.
authors: Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore, Singapore.
authors: Xiaohui
authors: X
authors: Ong
authors: Manisha
authors: M
authors: Mathur
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000601:surgery*