Ching-Hui Chen1, Peng-Hui Wang, Wei-Min Liu. 1. Department of Obstetrics and Gynecology, Taipei Medical University Hospital and Taipei Medical University, Taipei, Taiwan.
Abstract
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. DESIGN: Case report. SETTING: University-affiliated teaching hospital. PATIENT(S): A 37-year-old woman with CSEP. INTERVENTION(S): Local injection of 100 mg etoposide. MAIN OUTCOME MEASURE(S): Serial serum levels of beta-hCG and return of normal menstruation. RESULT(S): 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. CONCLUSION(S): Use of laparoscopic local injection of 100 mg etoposide with transvaginal ultrasound guidance might be an effective method for the management of CSEP.
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. DESIGN: Case report. SETTING: University-affiliated teaching hospital. PATIENT(S): A 37-year-old woman with CSEP. INTERVENTION(S): Local injection of 100 mg etoposide. MAIN OUTCOME MEASURE(S): Serial serum levels of beta-hCG and return of normal menstruation. RESULT(S): 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. CONCLUSION(S): Use of laparoscopic local injection of 100 mg etoposide with transvaginal ultrasound guidance might be an effective method for the management of CSEP.