Laparoscopic repair combined with hysteroscopy of cesarean section scar after cesarean scar pregnancy resulting in a live birth: A case report

We report a case where a spontaneous pregnancy and delivery of a live baby were achieved after laparoscopic repair combined with hysteroscopy of the cesarean section scar secondary to treatment for a prior cesarian section scar pregnancy. [Case] 31 years old, three pregnancies, and one delivery. A...

Full description

Saved in:
Bibliographic Details
Main Authors: Kyohei Takada, Eiji Nishio, Kiriko Kotani, Arata Kobayashi, Akiko Owaki, Yoshiteru Noda, Mayuko Ito, Hironori Miyamura, Haruki Nishizawa
Format: Article
Language:English
Published: Fujita Medical Society 2025-02-01
Series:Fujita Medical Journal
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/fmj/11/1/11_2024-003/_pdf/-char/ja
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832542486628663296
author Kyohei Takada
Eiji Nishio
Kiriko Kotani
Arata Kobayashi
Akiko Owaki
Yoshiteru Noda
Mayuko Ito
Hironori Miyamura
Haruki Nishizawa
author_facet Kyohei Takada
Eiji Nishio
Kiriko Kotani
Arata Kobayashi
Akiko Owaki
Yoshiteru Noda
Mayuko Ito
Hironori Miyamura
Haruki Nishizawa
author_sort Kyohei Takada
collection DOAJ
description We report a case where a spontaneous pregnancy and delivery of a live baby were achieved after laparoscopic repair combined with hysteroscopy of the cesarean section scar secondary to treatment for a prior cesarian section scar pregnancy. [Case] 31 years old, three pregnancies, and one delivery. A spontaneous abortion. Her first child was delivered by elective cesarean section due to pelvic position (breech presentation). During her second pregnancy, she was diagnosed with cesarean section scar pregnancy and underwent dilation and curettage. Subsequently, a laparoscopic repair of the uterine scar was performed using hysteroscopy owing to thinning of the cesarean section scar area. At six months postoperative, she conceived spontaneously and delivered a live baby by elective cesarean section at 38 weeks 2 days gestation. Conclusion: Thus, laparoscopic repair combined with hysteroscopy of the uterine scar can be a useful treatment option for patients with uterine scarring secondary to cesarean section scar pregnancy.
format Article
id doaj-art-fe6cdd1eaebc42ef9414961211b3fe30
institution Kabale University
issn 2189-7247
2189-7255
language English
publishDate 2025-02-01
publisher Fujita Medical Society
record_format Article
series Fujita Medical Journal
spelling doaj-art-fe6cdd1eaebc42ef9414961211b3fe302025-02-04T04:29:25ZengFujita Medical SocietyFujita Medical Journal2189-72472189-72552025-02-01111485110.20407/fmj.2024-003Laparoscopic repair combined with hysteroscopy of cesarean section scar after cesarean scar pregnancy resulting in a live birth: A case reportKyohei Takada0Eiji Nishio1Kiriko Kotani2Arata Kobayashi3Akiko Owaki4Yoshiteru Noda5Mayuko Ito6Hironori Miyamura7Haruki Nishizawa8Department of Obstetrics and Gynecology, Fujita Health University, School of MedicineDepartment of Obstetrics and Gynecology, Fujita Health University, School of MedicineDepartment of Obstetrics and Gynecology, Fujita Health University, School of MedicineDepartment of Obstetrics and Gynecology, Fujita Health University, School of MedicineDepartment of Obstetrics and Gynecology, Fujita Health University, School of MedicineDepartment of Obstetrics and Gynecology, Fujita Health University, School of MedicineDepartment of Obstetrics and Gynecology, Fujita Health University, School of MedicineDepartment of Obstetrics and Gynecology, Fujita Health University, School of MedicineDepartment of Obstetrics and Gynecology, Fujita Health University, School of MedicineWe report a case where a spontaneous pregnancy and delivery of a live baby were achieved after laparoscopic repair combined with hysteroscopy of the cesarean section scar secondary to treatment for a prior cesarian section scar pregnancy. [Case] 31 years old, three pregnancies, and one delivery. A spontaneous abortion. Her first child was delivered by elective cesarean section due to pelvic position (breech presentation). During her second pregnancy, she was diagnosed with cesarean section scar pregnancy and underwent dilation and curettage. Subsequently, a laparoscopic repair of the uterine scar was performed using hysteroscopy owing to thinning of the cesarean section scar area. At six months postoperative, she conceived spontaneously and delivered a live baby by elective cesarean section at 38 weeks 2 days gestation. Conclusion: Thus, laparoscopic repair combined with hysteroscopy of the uterine scar can be a useful treatment option for patients with uterine scarring secondary to cesarean section scar pregnancy.https://www.jstage.jst.go.jp/article/fmj/11/1/11_2024-003/_pdf/-char/jacesarean scar syndromecesarean scar disorderlaparoscopic surgerypost cesarean scar defectcesarean scar pregnancy
spellingShingle Kyohei Takada
Eiji Nishio
Kiriko Kotani
Arata Kobayashi
Akiko Owaki
Yoshiteru Noda
Mayuko Ito
Hironori Miyamura
Haruki Nishizawa
Laparoscopic repair combined with hysteroscopy of cesarean section scar after cesarean scar pregnancy resulting in a live birth: A case report
Fujita Medical Journal
cesarean scar syndrome
cesarean scar disorder
laparoscopic surgery
post cesarean scar defect
cesarean scar pregnancy
title Laparoscopic repair combined with hysteroscopy of cesarean section scar after cesarean scar pregnancy resulting in a live birth: A case report
title_full Laparoscopic repair combined with hysteroscopy of cesarean section scar after cesarean scar pregnancy resulting in a live birth: A case report
title_fullStr Laparoscopic repair combined with hysteroscopy of cesarean section scar after cesarean scar pregnancy resulting in a live birth: A case report
title_full_unstemmed Laparoscopic repair combined with hysteroscopy of cesarean section scar after cesarean scar pregnancy resulting in a live birth: A case report
title_short Laparoscopic repair combined with hysteroscopy of cesarean section scar after cesarean scar pregnancy resulting in a live birth: A case report
title_sort laparoscopic repair combined with hysteroscopy of cesarean section scar after cesarean scar pregnancy resulting in a live birth a case report
topic cesarean scar syndrome
cesarean scar disorder
laparoscopic surgery
post cesarean scar defect
cesarean scar pregnancy
url https://www.jstage.jst.go.jp/article/fmj/11/1/11_2024-003/_pdf/-char/ja
work_keys_str_mv AT kyoheitakada laparoscopicrepaircombinedwithhysteroscopyofcesareansectionscaraftercesareanscarpregnancyresultinginalivebirthacasereport
AT eijinishio laparoscopicrepaircombinedwithhysteroscopyofcesareansectionscaraftercesareanscarpregnancyresultinginalivebirthacasereport
AT kirikokotani laparoscopicrepaircombinedwithhysteroscopyofcesareansectionscaraftercesareanscarpregnancyresultinginalivebirthacasereport
AT aratakobayashi laparoscopicrepaircombinedwithhysteroscopyofcesareansectionscaraftercesareanscarpregnancyresultinginalivebirthacasereport
AT akikoowaki laparoscopicrepaircombinedwithhysteroscopyofcesareansectionscaraftercesareanscarpregnancyresultinginalivebirthacasereport
AT yoshiterunoda laparoscopicrepaircombinedwithhysteroscopyofcesareansectionscaraftercesareanscarpregnancyresultinginalivebirthacasereport
AT mayukoito laparoscopicrepaircombinedwithhysteroscopyofcesareansectionscaraftercesareanscarpregnancyresultinginalivebirthacasereport
AT hironorimiyamura laparoscopicrepaircombinedwithhysteroscopyofcesareansectionscaraftercesareanscarpregnancyresultinginalivebirthacasereport
AT harukinishizawa laparoscopicrepaircombinedwithhysteroscopyofcesareansectionscaraftercesareanscarpregnancyresultinginalivebirthacasereport