• Fertility and sterility · Sep 2007

    Case Reports

    Successful management of heterotopic cesarean scar pregnancy combined with intrauterine pregnancy after in vitro fertilization-embryo transfer.

    • Chao-Nin Wang, Chun-Kai Chen, Hsin-Shih Wang, Ho-Yen Chiueh, and Yung-Kuei Soong.
    • Department of Obstetrics and Gynecology, Chang-Gung Memorial Hospital, Taoyuan, Taiwan.
    • Fertil. Steril. 2007 Sep 1; 88 (3): 706.e13-6.

    ObjectiveTo present a case of cesarean scar pregnancy combined with intrauterine pregnancy after IVF-embryo transfer. Successful embryo reduction was performed and preserved the normal intrauterine gestation.DesignCase report.SettingTertiary referral case center.Patient(S)A woman with cesarean scar pregnancy combined with intrauterine pregnancy after IVF-embryo transfer.Intervention(S)Early diagnosis of heterotopic cesarean scar pregnancy and selective embryo reduction was performed by ultrasound-guided potassium chloride (KCl) directed injection.Main Outcome Measure(S)Successful pregnancy outcome.Result(S)A 38-year-old woman achieve pregnancy by IVF-embryo transfer. Heterotopic cesarean scar pregnancy was diagnosed at 7 weeks gestational age. A transvaginal ultrasound-guided KCl injection was given to terminate the cesarean scar embryo and a healthy infant was delivered 6 months later.Conclusion(S)Heterotopic cesarean scar pregnancy after IVF is extremely rare. Transvaginal intracardiac injection of KCl is a safe and reliable method to terminate the cesarean scar pregnancy. Satisfactory pregnancy outcome should be achieved.

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