Treatment of Cesarean Scar Ectopic Pregnancy With Hysteroscopic Resection

Treatment of Cesarean Scar Ectopic Pregnancy With Hysteroscopic Resection Publisher

Amuzegar H¹ ; Tanha FD² ; Asbagh FA³ ; Ebrahimi M⁴ ; Ezzati S⁵ ; Hajialiakbar V⁶

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1. Department of Obstetrics and Gynecology, Faculty of Medicine, Qom University of Medical Science, Qom, Iran
2. Department of Obstetrics and Gynecology, Women's Hospital, Tehran University of Medical Science, Tehran, Iran
3. Department of Obstetrics and Gynecology, IVF Unit, Yas Hospital, Tehran University of Medical Science, Tehran, Iran
4. Department of Obstetrics and Gynecology, Yas Hospital, Tehran University of Medical Science, Tehran, Iran
5. Tehran University of Medical Science, Tehran, Iran
6. Yas Hospital, Tehran University of Medical Science, Tehran, Iran

Source: Gynecology and Minimally Invasive Therapy Published:2025

Abstract

Cesarean scar pregnancy (CSP) is an ectopic that is located in the myometrium of a previous C-section of the scar. It is rare but threatening. The aim of this study was to introduce 10 cases of CSP treated with hysteroscopic resection. In the preoperative phase, the patients with beta-human chorionic gonadotropin (B-hCG) titers more than 10,000 were treated with methotrexate (MTX) to reduce B-hCG titers. Two patients did not receive MTX. All patients were treated with hysteroscopic resection except one patient, who underwent hysteroscopic resectoscopy due to a lack of reduction of B-hCG and due to unrepairable scar site of cesarean and uterine perforation eventuate hysterectomy. All patients had normal menstrual cycles as well as the negative β-hCG level after 2 months. Moreover, no recurrence was reported after 3 years. Low-invasive treatments such as hysteroscopic resection can be an important step to maintain fertility and the general health of patients. © 2025 Gynecology and Minimally Invasive Therapy.

Style	Citing Format
MLA	Amuzegar H, et al.. "Treatment of Cesarean Scar Ectopic Pregnancy With Hysteroscopic Resection." Gynecology and Minimally Invasive Therapy, vol. 14, no. 2, 2025, pp. 170-173.
APA	Amuzegar H, Tanha FD, Asbagh FA, Ebrahimi M, Ezzati S, Hajialiakbar V (2025). Treatment of Cesarean Scar Ectopic Pregnancy With Hysteroscopic Resection. Gynecology and Minimally Invasive Therapy, 14(2), 170-173.
Chicago	Amuzegar H, Tanha FD, Asbagh FA, Ebrahimi M, Ezzati S, Hajialiakbar V. "Treatment of Cesarean Scar Ectopic Pregnancy With Hysteroscopic Resection." Gynecology and Minimally Invasive Therapy 14, no. 2 (2025): 170-173.
Harvard	Amuzegar H et al. (2025) 'Treatment of Cesarean Scar Ectopic Pregnancy With Hysteroscopic Resection', Gynecology and Minimally Invasive Therapy, 14(2), pp. 170-173.
Vancouver	Amuzegar H, Tanha FD, Asbagh FA, Ebrahimi M, Ezzati S, Hajialiakbar V. Treatment of Cesarean Scar Ectopic Pregnancy With Hysteroscopic Resection. Gynecology and Minimally Invasive Therapy. 2025;14(2):170-173.
BibTex	@article{ author = {Amuzegar H and Tanha FD and Asbagh FA and Ebrahimi M and Ezzati S and Hajialiakbar V}, title = {Treatment of Cesarean Scar Ectopic Pregnancy With Hysteroscopic Resection}, journal = {Gynecology and Minimally Invasive Therapy}, volume = {14}, number = {2}, pages = {170-173}, year = {2025} }
RIS	TY - JOUR AU - Amuzegar H AU - Tanha FD AU - Asbagh FA AU - Ebrahimi M AU - Ezzati S AU - Hajialiakbar V TI - Treatment of Cesarean Scar Ectopic Pregnancy With Hysteroscopic Resection JO - Gynecology and Minimally Invasive Therapy VL - 14 IS - 2 SP - 170 EP - 173 PY - 2025 ER -

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