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

doi:10.3390/medicina57050411

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Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease

¹,

^2,*

Maurizio Nicola D’Alterio

⁴

Giuseppe Ricci

^2,5

Stefano Angioni

⁴

and

Luigi Nappi

Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynaecology, University of Foggia, 71121 Foggia, Italy

Institute for Maternal and Child Health IRCCS “Burlo Garofolo”, 34100 Trieste, Italy

Department of Obstetrics and Gynecology, Valle d’Itria Hospital, Martina Franca, 74015 Taranto, Italy

⁴

Department of Surgical Sciences, Division of Gynecology and Obstetrics, University of Cagliari, 09042 Cagliari, Italy

⁵

Department of Medicine, Surgery and Health Sciences, University of Trieste, 34100 Trieste, Italy

Author to whom correspondence should be addressed.

Academic Editor: Bruce McLucas

Medicina 2021, 57(5), 411; https://doi.org/10.3390/medicina57050411

Received: 13 February 2021 / Revised: 12 April 2021 / Accepted: 22 April 2021 / Published: 23 April 2021

(This article belongs to the Special Issue Pregnancy: Diagnosis, Misdiagnosis, Complications and Outcomes)

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Abstract

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. View Full-Text

Keywords: scar pregnancy; hysteroscopy; uterine artery embolization (UAE); laser

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MDPI and ACS Style

Sorrentino, F.; De Feo, V.; Stabile, G.; Tinelli, R.; D’Alterio, M.N.; Ricci, G.; Angioni, S.; Nappi, L. Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease. Medicina 2021, 57, 411. https://doi.org/10.3390/medicina57050411

AMA Style

Sorrentino F, De Feo V, Stabile G, Tinelli R, D’Alterio MN, Ricci G, Angioni S, Nappi L. Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease. Medicina. 2021; 57(5):411. https://doi.org/10.3390/medicina57050411

Chicago/Turabian Style

Sorrentino, Felice, Vincenzo De Feo, Guglielmo Stabile, Raffaele Tinelli, Maurizio Nicola D’Alterio, Giuseppe Ricci, Stefano Angioni, and Luigi Nappi. 2021. "Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease" Medicina 57, no. 5: 411. https://doi.org/10.3390/medicina57050411

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Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease

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