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Laparoscopic management of heterotopic cesarean scar pregnancy with preservation of intrauterine gestation and delivery at term: case report.

Abstract：

OBJECTIVE:To present a case of laparoscopic removal of a heterotopic cesarean scar pregnancy under ultrasound guidance. DESIGN:Case report. SETTING:Private hospital. PATIENT(S):A 34-year-old woman with heterotopic cesarean scar pregnancy. INTERVENTION(S):Laparoscopic removal of heterotopic cesarean scar pregnancy. MAIN OUTCOME MEASURE(S):Delivery at term after laparoscopic management of heterotopic cesarean scar pregnancy. RESULT(S):An ongoing intrauterine pregnancy ended with a live birth after successful removal of the heterotopic gestational mass by a laparoscopic approach. CONCLUSION(S):Surgical removal of the ectopic mass by laparoscopy may be a radical approach in cases of heterotopic cesarean scar pregnancy. Laparoscopic excision of the cesarean scar pregnancy gives the opportunity to preserve the viable intrauterine gestation while maintaining a strong lower uterine segment. Ultrasound is an adjunctive tool that enables precise location of the ectopic mass during the operation.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Demirel LC,Bodur H,Selam B,Lembet A,Ergin T

doi

10.1016/j.fertnstert.2008.01.067

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

1293.e5-7

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(08)00161-1

journal_volume

91

pub_type

杂志文章

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