A Case Report of Second Cesarean Scar Pregnancy with Intrauterine Device Complicated with Giant Hysteromyoma, Treated by HIFU Combined with Curettage

doi:10.12280/gjszjk.20220319

Abstract

Abstract:

As a special type of ectopic pregnancies, cesarean scar pregnancy (CSP) has a high risk of severe adverse outcomes when untimely diagnosis and treatment occur. It is very necessary to identify it as soon as possible. In recent years, with the application of high intensity focused ultrasound (HIFU) in the field of obstetrics and gynecology, the reports of using HIFU to treat CSP are increasing. However, its application in treating the CSP with intrauterine device has not yet reported. We reported a case of second CSP with intrauterine device complicated with giant hysteromyoma. The patient was hospitalized in our hospital in 2021, who was cured by HIFU combined with curettage. In this case, the clinical treatment is more difficult, surgery alone will face a higher risk of clinical complications. However, HIFU combined with curettage not only achieved the effective treatment of CSP and hysteromyoma, but also minimized the trauma, cost and pain of patients.

Key words: Pregnancy, Cicatrix, Intrauterine devices, High-intensity focused ultrasound ablation, Uterus, Leiomyoma, Therapy, Case reports

HE Meng, HU Meng-ying, DONG Qu-long, YANG Zhen-hua, ZHANG Yan. A Case Report of Second Cesarean Scar Pregnancy with Intrauterine Device Complicated with Giant Hysteromyoma, Treated by HIFU Combined with Curettage[J]. Journal of International Reproductive Health/Family Planning, 2022, 41(6): 464-467.

Figures/Tables 3

References 15

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