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@article{1203576, author = {Hudeček, Robert and Felsingerová, Zuzana and Felsinger, Michal and Jandáková, Eva}, article_location = {Larchmont}, article_number = {5}, doi = {http://dx.doi.org/10.1089/gyn.2014.0005}, keywords = {laparoscopy; cesarean scar ectopic pregnancy}, language = {eng}, issn = {1042-4067}, journal = {Journal of gynecologic surgery}, title = {Laparoscopic treatment of cesarean scar ectopic pregnancy}, volume = {30}, year = {2014} }
TY - JOUR ID - 1203576 AU - Hudeček, Robert - Felsingerová, Zuzana - Felsinger, Michal - Jandáková, Eva PY - 2014 TI - Laparoscopic treatment of cesarean scar ectopic pregnancy JF - Journal of gynecologic surgery VL - 30 IS - 5 SP - 309-311 EP - 309-311 PB - Mary Ann Liebert Inc. SN - 10424067 KW - laparoscopy KW - cesarean scar ectopic pregnancy N2 - An ectopic pregnancy within a Cesarean scar represents a rare type of extrauterine pregnancy in which the fertilized egg nidates in the myometrium of the uterine wall within a scar left from a previous Cesarean delivery. An unrecognized growing Cesarian scar pregnancy may result in uterine rupture, uncontrollable me- trorrhagia, and bleeding into the abdominal cavity; therefore, early diagnosis and therapy are necessary to prevent the development of severe complications. Case: A 34-year-old woman after a previous Cesarean delivery presented with amenorrhoa of 7 weeks’ duration. Transvaginal ultrasonography revealed an ectopic pregnancy in the Cesarean scar, and a laparoscopic removal of the gestational sac was performed with no complications. Results: Three months later, another laparoscopy with chromopertubation showed no signs of penetration in the suture, both the Fallopian tubes being bilaterally passable. The patient was advised that she could try to achieve pregnancy through spontaneous conception, after which monitoring of the gestational development and a careful assessment of the nidation site would be needed. Conclusions: Laparoscopic surgical management of a viable ectopic pregnancy is technically simple, and is followed by a good recovery. ER -
HUDEČEK, Robert, Zuzana FELSINGEROVÁ, Michal FELSINGER a Eva JANDÁKOVÁ. Laparoscopic treatment of cesarean scar ectopic pregnancy. \textit{Journal of gynecologic surgery}. Larchmont: Mary Ann Liebert Inc., 2014, roč.~30, č.~5, s.~309-311. ISSN~1042-4067. Dostupné z: https://dx.doi.org/10.1089/gyn.2014.0005.
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