Ultrasound guided vacuum aspiration treatment of caesarean scar ectopic pregnancy

Authors: Totka A.;  Gábor M.;  Alföldi M.;  Kunochová I.;  Ferianec V.
Authors‘ workplace: II. gynekologicko-pôrodnícka klinika LF UK a UN Bratislava, Slovenská republika
Published in: Ceska Gynekol 2021; 86(3): 184-188
Category: Case Report
doi: 10.48095/cccg2021184


Objective: To describe the case of ectopic pregnancy in the scar after caesarean section and its successful treatment using the technique of sonographically controlled vacuum aspiration.

Case report: The case of a 35-year-old patient with a history of two caesarean sections referred by a district gynecologist in the 6th week of pregnancy with suspected pathological localization of pregnancy in a scar after a previous caesarean section. The procedure for the dia­gnosis and treatment of ectopic pregnancy in the scar after previous caesarean sections has been successfully resolved using sonographically controlled vaginal vacuum aspiration.

Conclusion: Caesarean scar pregnancy occurs as a complication of previous caesarean section or other uterine instrumental performances. The use of the sonographically controlled vacuum aspiration technique appears to be a successful method of treating pregnancy in a scar after a caesarean section.

Publication ethics: The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

Conflict of interests: The authors declare they have no potential conflicts of interest concerning the drugs, products or services used in the study.


caesarean scar pregnancy – ectopic pregnancy – suction curettage – ultrasonography


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Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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