A novel surgical treatment for cesarean scar pregnancy: laparoscopically assisted operative hysteroscopy

Objective To describe laparoscopically assisted hysteroscopy as a unique surgical intervention for a cesarean section scar ectopic pregnancy. Design Case report. Setting University hospital. Patient(s) A 44-year-old woman, pregnant at 5 weeks and 6 days' gestational age with a cesarean section scar ectopic pregnancy. Intervention(s) The patient underwent serial transvaginal ultrasound examinations with Doppler flow studies, followed by a laparoscopically assisted operative hysteroscopy for evacuating the cesarean scar ectopic pregnancy. Main Outcome Measure(s) Conservation of the uterus, fertility preservation. Result(s) Successful conservative surgical treatment of cesarean section scar ectopic pregnancy. Conclusion(s) Conservative laparoscopically assisted operative hysteroscopy can be used successfully in hemodynamically stable patients with a cesarean section scar ectopic pregnancy.