Successful treatment of cesarean scar pregnancy using laparoscopically assisted local injection of etoposide with transvaginal ultrasound guidance

Ching Hui Chen, Peng Hui Wang, Wei-Min Liu

Research output: Contribution to journalArticle

13 Citations (Scopus)

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 β-hCG and return of normal menstruation. Result(s): Serial serum β-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.

Original languageEnglish
Pages (from-to)1747.e9-1747.e11
JournalFertility and Sterility
Volume92
Issue number5
DOIs
Publication statusPublished - Nov 2009

Fingerprint

Ectopic Pregnancy
Etoposide
Cicatrix
Menstruation
Pregnancy
Injections
Serum
Teaching Hospitals
Therapeutics
Outcome Assessment (Health Care)

Keywords

  • cesarean scar ectopic pregnancy
  • Etoposide
  • laparoscopy
  • transvaginal ultrasound

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

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title = "Successful treatment of cesarean scar pregnancy using laparoscopically assisted local injection of etoposide with transvaginal ultrasound guidance",
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 β-hCG and return of normal menstruation. Result(s): Serial serum β-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.",
keywords = "cesarean scar ectopic pregnancy, Etoposide, laparoscopy, transvaginal ultrasound",
author = "Chen, {Ching Hui} and Wang, {Peng Hui} and Wei-Min Liu",
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AU - Chen, Ching Hui

AU - Wang, Peng Hui

AU - Liu, Wei-Min

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N2 - 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 β-hCG and return of normal menstruation. Result(s): Serial serum β-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.

AB - 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 β-hCG and return of normal menstruation. Result(s): Serial serum β-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.

KW - cesarean scar ectopic pregnancy

KW - Etoposide

KW - laparoscopy

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