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Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease
Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy which represents a consequence of a previous cesarean section. It is associated with major maternal morbidity and mortality and has potential implications on future fertility. Because of possible serious complications, CSP should be s...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8146286/ https://www.ncbi.nlm.nih.gov/pubmed/33922785 http://dx.doi.org/10.3390/medicina57050411 |
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author | Sorrentino, Felice De Feo, Vincenzo Stabile, Guglielmo Tinelli, Raffaele D’Alterio, Maurizio Nicola Ricci, Giuseppe Angioni, Stefano Nappi, Luigi |
author_facet | Sorrentino, Felice De Feo, Vincenzo Stabile, Guglielmo Tinelli, Raffaele D’Alterio, Maurizio Nicola Ricci, Giuseppe Angioni, Stefano Nappi, Luigi |
author_sort | Sorrentino, Felice |
collection | PubMed |
description | Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy which represents a consequence of a previous cesarean section. It is associated with major maternal morbidity and mortality and has potential implications on future fertility. Because of possible serious complications, CSP should be swiftly diagnosed and treated. There is no management protocol for this rare, life-threatening condition, and each patient should be evaluated individually. Several types of conservative treatment have been used to treat cesarean scar pregnancy: dilation and curettage (D&C), excision of trophoblastic tissues, local or systemic administration of methotrexate, bilateral hypogastric artery ligation, and selective uterine artery embolization with curettage and/or methotrexate administration. In our study we present a cesarean scar pregnancy of a 40-year-old woman who was treated with angiographic uterine artery embolization (UAE) followed by hysteroscopic diode laser resection. Our combined UAE–hysteroscopic laser surgery appears to offer an effective, safe, and minimally invasive surgical treatment. |
format | Online Article Text |
id | pubmed-8146286 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81462862021-05-26 Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease Sorrentino, Felice De Feo, Vincenzo Stabile, Guglielmo Tinelli, Raffaele D’Alterio, Maurizio Nicola Ricci, Giuseppe Angioni, Stefano Nappi, Luigi Medicina (Kaunas) Case Report Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy which represents a consequence of a previous cesarean section. It is associated with major maternal morbidity and mortality and has potential implications on future fertility. Because of possible serious complications, CSP should be swiftly diagnosed and treated. There is no management protocol for this rare, life-threatening condition, and each patient should be evaluated individually. Several types of conservative treatment have been used to treat cesarean scar pregnancy: dilation and curettage (D&C), excision of trophoblastic tissues, local or systemic administration of methotrexate, bilateral hypogastric artery ligation, and selective uterine artery embolization with curettage and/or methotrexate administration. In our study we present a cesarean scar pregnancy of a 40-year-old woman who was treated with angiographic uterine artery embolization (UAE) followed by hysteroscopic diode laser resection. Our combined UAE–hysteroscopic laser surgery appears to offer an effective, safe, and minimally invasive surgical treatment. MDPI 2021-04-23 /pmc/articles/PMC8146286/ /pubmed/33922785 http://dx.doi.org/10.3390/medicina57050411 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Sorrentino, Felice De Feo, Vincenzo Stabile, Guglielmo Tinelli, Raffaele D’Alterio, Maurizio Nicola Ricci, Giuseppe Angioni, Stefano Nappi, Luigi Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease |
title | Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease |
title_full | Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease |
title_fullStr | Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease |
title_full_unstemmed | Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease |
title_short | Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease |
title_sort | cesarean scar pregnancy treated by artery embolization combined with diode laser: a novel approach for a rare disease |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8146286/ https://www.ncbi.nlm.nih.gov/pubmed/33922785 http://dx.doi.org/10.3390/medicina57050411 |
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