Resection of Cesarean Scar Pregnancy at Six Weeks of Gestation with Laminaria Cervical Dilatation under Sonographic and Hysteroscopic Guidance
In cases of fetal heartbeat- (FHB-) positive cesarean scar pregnancy (CSP), the embryo and placenta grow rapidly week by week. We experienced an FHB-positive CSP case at 6 weeks of gestation and assessed the CSP in detail with transvaginal ultrasound and transabdominal ultrasound (TAUS), preoperativ...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2015/685761 |
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| author | Tatsuji Hoshino Taito Miyamoto Shinya Yoshioka |
| author_facet | Tatsuji Hoshino Taito Miyamoto Shinya Yoshioka |
| author_sort | Tatsuji Hoshino |
| collection | DOAJ |
| description | In cases of fetal heartbeat- (FHB-) positive cesarean scar pregnancy (CSP), the embryo and placenta grow rapidly week by week. We experienced an FHB-positive CSP case at 6 weeks of gestation and assessed the CSP in detail with transvaginal ultrasound and transabdominal ultrasound (TAUS), preoperatively. We performed Laminaria cervical dilatation under TAUS guidance and performed hysteroscopic resection of the pregnancy conceptus and curettage under hysteroscopic and TAUS guidance. We identified the gestational sac attached to the cesarean scar pouch with small plane, decidua basalis, and chorionic villi and present the clinical history and other findings. We also reviewed the related literature and found 76 previous studies, with six cases of FHB-positive CSP that contained hysteroscopic color images of the CSP. We present a review of selected cases. The implantation site was the anterior wall in almost all cases. Cervical dilatation was mainly performed using a Hegar dilator; ours was the only case using Laminaria dilatation. Transcervical resections were performed mainly under ultrasound guidance, with only one case undergoing laparoscopy. Electrocoagulation was performed in three of the six cases. |
| format | Article |
| id | doaj-art-35e2f2b8163e43bb9e0c3e3359f3dc65 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-35e2f2b8163e43bb9e0c3e3359f3dc652025-02-03T01:32:42ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/685761685761Resection of Cesarean Scar Pregnancy at Six Weeks of Gestation with Laminaria Cervical Dilatation under Sonographic and Hysteroscopic GuidanceTatsuji Hoshino0Taito Miyamoto1Shinya Yoshioka2Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital, Minami-Machi 2-1-1, Chuo-Ward, Kobe 650-0047, JapanDepartment of Obstetrics and Gynecology, Kobe City Medical Center General Hospital, Minami-Machi 2-1-1, Chuo-Ward, Kobe 650-0047, JapanDepartment of Obstetrics and Gynecology, Kobe City Medical Center General Hospital, Minami-Machi 2-1-1, Chuo-Ward, Kobe 650-0047, JapanIn cases of fetal heartbeat- (FHB-) positive cesarean scar pregnancy (CSP), the embryo and placenta grow rapidly week by week. We experienced an FHB-positive CSP case at 6 weeks of gestation and assessed the CSP in detail with transvaginal ultrasound and transabdominal ultrasound (TAUS), preoperatively. We performed Laminaria cervical dilatation under TAUS guidance and performed hysteroscopic resection of the pregnancy conceptus and curettage under hysteroscopic and TAUS guidance. We identified the gestational sac attached to the cesarean scar pouch with small plane, decidua basalis, and chorionic villi and present the clinical history and other findings. We also reviewed the related literature and found 76 previous studies, with six cases of FHB-positive CSP that contained hysteroscopic color images of the CSP. We present a review of selected cases. The implantation site was the anterior wall in almost all cases. Cervical dilatation was mainly performed using a Hegar dilator; ours was the only case using Laminaria dilatation. Transcervical resections were performed mainly under ultrasound guidance, with only one case undergoing laparoscopy. Electrocoagulation was performed in three of the six cases.http://dx.doi.org/10.1155/2015/685761 |
| spellingShingle | Tatsuji Hoshino Taito Miyamoto Shinya Yoshioka Resection of Cesarean Scar Pregnancy at Six Weeks of Gestation with Laminaria Cervical Dilatation under Sonographic and Hysteroscopic Guidance Case Reports in Obstetrics and Gynecology |
| title | Resection of Cesarean Scar Pregnancy at Six Weeks of Gestation with Laminaria Cervical Dilatation under Sonographic and Hysteroscopic Guidance |
| title_full | Resection of Cesarean Scar Pregnancy at Six Weeks of Gestation with Laminaria Cervical Dilatation under Sonographic and Hysteroscopic Guidance |
| title_fullStr | Resection of Cesarean Scar Pregnancy at Six Weeks of Gestation with Laminaria Cervical Dilatation under Sonographic and Hysteroscopic Guidance |
| title_full_unstemmed | Resection of Cesarean Scar Pregnancy at Six Weeks of Gestation with Laminaria Cervical Dilatation under Sonographic and Hysteroscopic Guidance |
| title_short | Resection of Cesarean Scar Pregnancy at Six Weeks of Gestation with Laminaria Cervical Dilatation under Sonographic and Hysteroscopic Guidance |
| title_sort | resection of cesarean scar pregnancy at six weeks of gestation with laminaria cervical dilatation under sonographic and hysteroscopic guidance |
| url | http://dx.doi.org/10.1155/2015/685761 |
| work_keys_str_mv | AT tatsujihoshino resectionofcesareanscarpregnancyatsixweeksofgestationwithlaminariacervicaldilatationundersonographicandhysteroscopicguidance AT taitomiyamoto resectionofcesareanscarpregnancyatsixweeksofgestationwithlaminariacervicaldilatationundersonographicandhysteroscopicguidance AT shinyayoshioka resectionofcesareanscarpregnancyatsixweeksofgestationwithlaminariacervicaldilatationundersonographicandhysteroscopicguidance |