Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Apr 23;57(5):411.
doi: 10.3390/medicina57050411.

Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease

Felice Sorrentino  1 , Vincenzo De Feo  1 , Guglielmo Stabile  2 , Raffaele Tinelli  3 , Maurizio Nicola D'Alterio  4 , Giuseppe Ricci  2   5 , Stefano Angioni  4 , Luigi Nappi  1
Affiliations
Case Reports

Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease

Felice Sorrentino et al. Medicina (Kaunas). .

Abstract

Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy which represents a consequence of a previous cesarean section. It is associated with major maternal morbidity and mortality and has potential implications on future fertility. Because of possible serious complications, CSP should be swiftly diagnosed and treated. There is no management protocol for this rare, life-threatening condition, and each patient should be evaluated individually. Several types of conservative treatment have been used to treat cesarean scar pregnancy: dilation and curettage (D&C), excision of trophoblastic tissues, local or systemic administration of methotrexate, bilateral hypogastric artery ligation, and selective uterine artery embolization with curettage and/or methotrexate administration. In our study we present a cesarean scar pregnancy of a 40-year-old woman who was treated with angiographic uterine artery embolization (UAE) followed by hysteroscopic diode laser resection. Our combined UAE-hysteroscopic laser surgery appears to offer an effective, safe, and minimally invasive surgical treatment.

Keywords: hysteroscopy; laser; scar pregnancy; uterine artery embolization (UAE).

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Cesarean scar pregnancy with cardiac activity.
Figure 2
Figure 2
Hysteroscopic view of the umbilical cord and the gestational sac.
Figure 3
Figure 3
Hysteroscopic view of the umbilical cord.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Panelli D.M., Phillips C.H., Brady P.C. Incidence, diagnosis and management of tubal and nontubal ectopic pregnancies: A review. Fertil. Res. Pract. 2015;1:15. doi: 10.1186/s40738-015-0008-z. - DOI - PMC - PubMed
    1. Seow K.M., Huang L.W., Lin Y.H., Yan-Sheng Lin M., Tsai Y.-L., Hwang J.-L. Caesarean scar pregnancy: Issues in management. Ultrasound Obstet Gynecol. 2004;23:247–253. doi: 10.1002/uog.974. - DOI - PubMed
    1. Petersen K.B., Hoffmann E., Larsen C.R., Nielsen H.S. Cesarean scar pregnancy: A systematic review of treatment studies. Fertil. Steril. 2016;105:958–967. doi: 10.1016/j.fertnstert.2015.12.130. - DOI - PubMed
    1. Yu X.L., Zhang N., Zuo W.L. Cesarean scar pregnancy: An analysis of 100 cases. Zhonghua Yi Xue Za Zhi. 2011;91:3186–3189. - PubMed
    1. Pascual M.A., Hereter L., Graupera B. Three-dimensional power Doppler ultrasound diagnosis and conservative treatment of ectopic pregnancy in a cesarean section scar. Fertil. Steril. 2007;88:706.e5–706.e7. doi: 10.1016/j.fertnstert.2006.11.183. - DOI - PubMed

Publication types