Chin-Jung Wang1, Fengpo Tsai2, Chaowen Chen2, Angel Chao3. 1. Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou and Chang Gung University College of Medicine, Kwei-Shan, Tao-Yuan. 2. Poyuan Women Clinic, Changhua, Taiwan. 3. Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou and Chang Gung University College of Medicine, Kwei-Shan, Tao-Yuan. Electronic address: angel945@cgmh.org.tw.
Abstract
OBJECTIVE: To report a cesarean scar pregnancy (CSP) with a coexistent viable intrauterine pregnancy. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou, Taiwan. PATIENT(S): A 31-year-old woman, with previous cesarean delivery, presented with vaginal bleeding, was transferred to our hospital at 7 weeks' gestation for heterotopic pregnancy after an IVF-embryo transfer. A diagnosis of intrauterine pregnancy combined with CSP was made by ultrasonography. INTERVENTION(S): Hysteroscopic-directed evacuation of CSP. MAIN OUTCOME MEASURE(S): Good hemostasis at cesarean site and ongoing intrauterine pregnancy. RESULT(S): A healthy baby was delivered by cesarean delivery at term. CONCLUSION(S): With the increasing number of IVF-embryo transfers, the amount of heterotopic pregnancies is also increasing. Hysteroscopic management of CSP is a minimally invasive procedure that leads to successful obstetric outcomes in the corresponding intrauterine pregnancies. Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
OBJECTIVE: To report a cesarean scar pregnancy (CSP) with a coexistent viable intrauterine pregnancy. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou, Taiwan. PATIENT(S): A 31-year-old woman, with previous cesarean delivery, presented with vaginal bleeding, was transferred to our hospital at 7 weeks' gestation for heterotopic pregnancy after an IVF-embryo transfer. A diagnosis of intrauterine pregnancy combined with CSP was made by ultrasonography. INTERVENTION(S): Hysteroscopic-directed evacuation of CSP. MAIN OUTCOME MEASURE(S): Good hemostasis at cesarean site and ongoing intrauterine pregnancy. RESULT(S): A healthy baby was delivered by cesarean delivery at term. CONCLUSION(S): With the increasing number of IVF-embryo transfers, the amount of heterotopic pregnancies is also increasing. Hysteroscopic management of CSP is a minimally invasive procedure that leads to successful obstetric outcomes in the corresponding intrauterine pregnancies. Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.