Bacila Ioana-Flavia, Balulescu Ligia, Dabica Alexandru, Brasoveanu Simona, Pirtea Marilena, Ratiu Adrian, Pirtea Laurentiu
Department of Obstetrics and Gynecology, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.
J Pers Med. 2024 Apr 28;14(5):469. doi: 10.3390/jpm14050469.
A cesarean scar ectopic pregnancy (CSP) represents an uncommon yet potentially life-threatening condition requiring immediate and efficient management. We present a case of a 32-year-old woman diagnosed with a scar pregnancy at 8 weeks of gestation. Laparoscopic surgical management was chosen due to its minimally invasive nature and potential for preserving fertility. During the procedure, temporary clipping of uterine arteries was employed to control intraoperative bleeding. The patient recovered well postoperatively with no complications. This case highlights the feasibility and effectiveness of laparoscopic intervention combined with temporary uterine artery clipping in the management of scar pregnancies, offering a valuable approach for clinicians faced with similar cases. Through this report, we aim to contribute to the existing literature on the optimal management of CSP and highlight the efficacy of laparoscopic surgery in this context.
剖宫产瘢痕部位异位妊娠（CSP）是一种罕见但可能危及生命的情况，需要立即进行有效处理。我们报告一例32岁女性，在妊娠8周时被诊断为瘢痕妊娠。由于腹腔镜手术具有微创性且有可能保留生育能力，因此选择了腹腔镜手术治疗。手术过程中，采用临时夹闭子宫动脉的方法来控制术中出血。患者术后恢复良好，无并发症。该病例突出了腹腔镜干预联合临时子宫动脉夹闭在瘢痕妊娠处理中的可行性和有效性，为面临类似病例的临床医生提供了一种有价值的方法。通过本报告，我们旨在为现有的关于CSP最佳处理的文献做出贡献，并强调腹腔镜手术在这种情况下的疗效。
