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Case Reports in Surgery
Volume 2016, Article ID 7460687, 4 pages
http://dx.doi.org/10.1155/2016/7460687
Case Report

Ectopic Pregnancy in a Cesarean Section Scar: Successful Management Using Vacuum Aspiration under Laparoscopic Supervision—Mini Review of Current Literature

1Department of Radiology, Medical Faculty, Selcuk University, Konya, Turkey
2Department of Obstetrics and Gynecology, Medical Faculty, Akdeniz University, Antalya, Turkey
3Department of Obstetrics and Gynecology, Medical Faculty, Selcuk University, Konya, Turkey

Received 31 July 2016; Revised 21 October 2016; Accepted 2 November 2016

Academic Editor: Menelaos Zafrakas

Copyright © 2016 Mustafa Koplay et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A cesarean scar ectopic pregnancy (CSEP) is a fairly uncommon presentation wherein the conceptus is implanted deep in the myometrium and at the exact scar site of the previous cesarean section. There are various CSEP management options that range from medical treatment to surgical interventions such as dilatation and curettage, laparoscopic excision, resection by laparotomy, or, sometimes, a combination of these modalities. Establishing a diagnosis of CSEP can be challenging. Given the relatively rare incidence of CSEP, its management is controversial and current standards of therapy have been derived from data obtained from a limited number of patients. Herein, we present transvaginal ultrasonography (TVUS) imaging findings and management strategies used in a case of CSEP along with the short review of current literature.