Successful treatment of cesarean scar pregnancy using laparoscopically assisted local injection of etoposide with transvaginal ultrasound guidance

Objective To present a case of cesarean scar ectopic pregnancy (CSEP) successfully diagnosed and treated with a laparoscopic local injection of 100 mg etoposide under transvaginal ultrasound assistance. Design Case report. Setting University-affiliated teaching hospital. Patient(s) A 37-year-old woman with CSEP. Intervention(s) Local injection of 100 mg etoposide. Main Outcome Measure(s) Serial serum levels of β-hCG and return of normal menstruation. Result(s) Serial serum β-hCG levels were 572.2 mIU/mL before operation, 340.7 mIU/mL on the first postoperative day, 28.1 mIU/mL on postoperative day 9, and 5 mIU/mL on postoperative day 17. Menstruation was initiated on postoperative day 45. Conclusion(s) Use of laparoscopic local injection of 100 mg etoposide with transvaginal ultrasound guidance might be an effective method for the management of CSEP.