A Novel Transvaginal Natural Orifice Transluminal Endoscopic Approach for Ectopic Pregnancy Surgery with Intra-abdominal Adhesion

A 29-year-old woman, G2P1001, presented with irregular vaginal bleeding for 7 weeks 2 days and a serum beta-hcg level of 3000 mIU/mL. The patient had previously undergone two open abdominal surgeries for necrotizing pancreatitis four years ago. Abdominal and bimanual examinations revealed the prior inverted U-shaped surgical scar (Figure 1) and a normal size uterus without any tenderness or pain.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: IMAGES IN Gynecological Surgery Source Type: research