膣式切開除去術により子宮温存し得た帝王切開創部妊娠のまれな1例

概要

論文の詳細を見る
A case of vaginal surgical management of an ectopic pregnancy in a previous Cesarean section scar is reported. A 28-year-old woman (gravida 2, para 2) was referred to Shinnittetsu general hospital with chief complaints of 6 weeks' amenorrhea and vaginal bleeding. Her obstetric history showed that she had undergone two lower-segment transverse Cesarean sections 4 years and 8 months previously. Transvaginal ultrasonography and MRI revealed an ectopic pregnancy in a Cesarean section scar. We succeeded in preserving the uterus by vaginal hysterotomy and curettage. This is the first report of successful conservative vaginal surgery for Cesarean scar pregnancy and we consider that this surgery is an effective treatment for this disease.
社団法人日本産科婦人科学会の論文
2002-10-01