Laparoscopic Management of Myomectomy Scar Pregnancy after a Cryopreserved Embryo Transfer

Abstract

A 38-year-old nulligravida woman with previous history of hysteroscopic myomectomy underwent in vitro fertilization and became pregnant. Two cleavage stage embryos were transferred 3 days following oocyte retrieval. Twelve days later, serum β human chorionic gonadotropin was positive. The first transvaginal ultrasound scan at 4 weeks revealed a gestational sac in diverticulum at the anterior lateral fundus, communicated with the uterine cavity, the gestational sac was 25 mm in diameter (Fig. 1A).