Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Sorrentino, Felice, De Feo, Vincenzo, Stabile, Guglielmo, Tinelli, Raffaele, D’Alterio, Maurizio Nicola, Ricci, Giuseppe, Angioni, Stefano, Nappi, Luigi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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
_version_ 1783697363935690752
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
work_keys_str_mv AT sorrentinofelice cesareanscarpregnancytreatedbyarteryembolizationcombinedwithdiodelaseranovelapproachforararedisease
AT defeovincenzo cesareanscarpregnancytreatedbyarteryembolizationcombinedwithdiodelaseranovelapproachforararedisease
AT stabileguglielmo cesareanscarpregnancytreatedbyarteryembolizationcombinedwithdiodelaseranovelapproachforararedisease
AT tinelliraffaele cesareanscarpregnancytreatedbyarteryembolizationcombinedwithdiodelaseranovelapproachforararedisease
AT dalteriomaurizionicola cesareanscarpregnancytreatedbyarteryembolizationcombinedwithdiodelaseranovelapproachforararedisease
AT riccigiuseppe cesareanscarpregnancytreatedbyarteryembolizationcombinedwithdiodelaseranovelapproachforararedisease
AT angionistefano cesareanscarpregnancytreatedbyarteryembolizationcombinedwithdiodelaseranovelapproachforararedisease
AT nappiluigi cesareanscarpregnancytreatedbyarteryembolizationcombinedwithdiodelaseranovelapproachforararedisease