• Fertility and sterility · Sep 2010

    Case Reports

    Hysteroscopic management of heterotopic cesarean scar pregnancy.

    • Chin-Jung Wang, Fengpo Tsai, Chaowen Chen, and Angel Chao.
    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou and Chang Gung University College of Medicine, Kwei-Shan, Tao-Yuan, Taiwan.
    • Fertil. Steril. 2010 Sep 1;94(4):1529.e15-8.

    ObjectiveTo report a cesarean scar pregnancy (CSP) with a coexistent viable intrauterine pregnancy.DesignCase report.SettingDepartment 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.

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