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Resection of Cesarean Scar Pregnancy at Six Weeks of Gestation with Laminaria Cervical Dilatation under Sonographic and Hysteroscopic Guidance
Joint Authors
Hoshino, Tatsuji
Miyamoto, Taito
Yoshioka, Shinya
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-09-15
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Hoshino, Tatsuji& Miyamoto, Taito& Yoshioka, Shinya. 2015. 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،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1059172
Modern Language Association (MLA)
Hoshino, Tatsuji…[et al.]. 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 No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1059172
American Medical Association (AMA)
Hoshino, Tatsuji& Miyamoto, Taito& Yoshioka, Shinya. 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. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1059172
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059172