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Case Reports
. 2021 Apr 30;10(2):132-134.
doi: 10.4103/GMIT.GMIT_125_19. eCollection 2021 Apr-Jun.

Successful Conservative Treatment of Cesarean Scar Ectopic Pregnancy with Local Injections of Absolute Ethanol

Toshiyuki Kakinuma  1 , Kaoru Kakinuma  1 , Yoshio Matsuda  1 , Kaoru Yanagida  1 , Hirotsune Kaijima  2 , Michitaka Ohwada  1
Affiliations
Case Reports

Successful Conservative Treatment of Cesarean Scar Ectopic Pregnancy with Local Injections of Absolute Ethanol

Toshiyuki Kakinuma et al. Gynecol Minim Invasive Ther. .

Abstract

Cesarean scar ectopic pregnancy (CSEP) is becoming more common worldwide. Here, we report a case of cesarean scar pregnancy successfully treated using transvaginal ethanol injection. A 31-year-old female (gravida 3, para 2) with two prior cesarean sections presented at 9 weeks and 3 days of pregnancy. Her serum human chorionic gonadotropin level was 91,798 mIU/mL. CSEP was confirmed by transvaginal ultrasonography, pelvic magnetic resonance imaging, and color Doppler ultrasonography. Transvaginal absolute ethanol local injection under transvaginal ultrasound guidance was performed. She was discharged 7 days after treatment with no complications and resumed normal menses 1 month after treatment. We describe a safe and successful treatment option for CSEP.

Keywords: Absolute ethanol local injection; cesarean scar; cesarean scar ectopic pregnancies; ectopic pregnancies; transvaginal ultrasound.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Ultrasound and magnetic resonance images of cesarean scar ectopic pregnancy. Uterus section image and magnetic resonance image showing a gestational sac implanted within the anterior myometrium of the lower uterine segment in the cesarean section scar site (a and b)
Figure 2
Figure 2
Hysteroscopic image of the cesarean scar ectopic pregnancy. The endometrial cavity is empty, and the gestation sac is implanted in a niche located in the anterior endocervical wall, corresponding to the previous cesarean section scar site
See this image and copyright information in PMC

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