Журнал беременности и здоровья детей

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Successful Treatment of Cesarean Scar Ectopic Pregnancy through Endoscopic Procedure and Conservative Therapy

Ponsigne Y

Cesarean scar ectopic pregnancy (CSEP) is a rare and potentially life-threatening condition where a fertilized egg implants within the scar tissue of a previous Cesarean section. Prompt and effective intervention is essential to mitigate the risks associated with CSEP. This article presents a case study where a 34-year-old woman with a history of two previous Cesarean sections was successfully treated for CSEP uses a combination of minimally invasive endoscopic procedures, specifically laparoscopy, and conservative therapy involving methotrexate. The key to success lay in early diagnosis through transvaginal ultrasound and serum hCG levels. This approach not only preserved the patient's fertility but also minimized scarring and reduced recovery time, emphasizing the significance of early detection and minimally invasive methods in managing this complex reproductive health issue. This case serves as a testament to medical advancements and the expertise of healthcare professionals in addressing CSEP.