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CASE REPORT
Year : 2021  |  Volume : 10  |  Issue : 2  |  Page : 132-134

Successful conservative treatment of cesarean scar ectopic pregnancy with local injections of absolute ethanol


1 Department of Obstetrics and Gynecology, International University of Health and Welfare Hospital, Nasushiobara City, Tochigi, Japan
2 Minatomirai Yume Clinic, Yokohama, Kanagawa, Japan

Correspondence Address:
Prof. Toshiyuki Kakinuma
Department of Obstetrics and Gynecology, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara City, Tochigi 329-2763
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/GMIT.GMIT_125_19

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Cesarean scar ectopic pregnancy (CSEP) is becoming more common worldwide. Here, we report a case of cesarean scar pregnancy successfully treated using transvaginal ethanol injection. A 31-year-old female (gravida 3, para 2) with two prior cesarean sections presented at 9 weeks and 3 days of pregnancy. Her serum human chorionic gonadotropin level was 91,798 mIU/mL. CSEP was confirmed by transvaginal ultrasonography, pelvic magnetic resonance imaging, and color Doppler ultrasonography. Transvaginal absolute ethanol local injection under transvaginal ultrasound guidance was performed. She was discharged 7 days after treatment with no complications and resumed normal menses 1 month after treatment. We describe a safe and successful treatment option for CSEP.


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