An unusual case of heterotopic twin pregnancy managed successfully with selective feticide

Yazicioglu, H. F.; Turgut, Selin Turan; Madazli, Rıza; Aygün, Mehmet; Cebi, Z.; Sönmez, Süha

doi:10.1002/uog.1050

Cited by 23 publications

(18 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Subsequently, eight authors [2, 4, 13, 14, 16, 20, 22, 23] reported selective embryo reduction performed using transvaginal ultrasound-guided KCl injection or potassium chloride and methotrexate (MTX) injection into the ectopic gestational sacs between 6 and 10 weeks of gestation, with no complications arising during the procedures. Most pregnancies were uneventful throughout, except for one patient where some vaginal bleeding and uterine contractions occurred at 28 and 34 weeks, respectively.…”

Section: Discussionmentioning

confidence: 99%

Successful selective reduction of a heterotopic cesarean scar pregnancy in the second trimester: a case report and review of the literature

Luo

Zhao

et al. 2016

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundHeterotopic cesarean scar pregnancy is a cesarean scar pregnancy combined with an intrauterine pregnancy that predisposes a woman to life-threatening complications such as uterine rupture and massive bleeding. Preservation of the intrauterine pregnancy in heterotopic cesarean scar pregnancy is a great challenge.Case presentationWe report a case of a 33-year-old woman with heterotopic cesarean scar pregnancy after IVF-embryo transfer (ET). Expectant management was carried out with early diagnosis of heterotopic cesarean scar pregnancy (HCSP), and selective fetal reduction of cesarean scar pregnancy (CSP) was performed by ultrasound-guided intrathoracic injection of potassium chloride (KCl) at 16 + 4 weeks of gestation due to aggravation of CSP. Preservation of the intrauterine pregnancy was successful and a healthy baby was delivered by cesarean section at 37 + 6 weeks of gestation.ConclusionsHeterotopic cesarean scar pregnancy is an extremely rare form of heterotopic pregnancy. Patients should be appropriately counseled regarding the different treatment options available. An ultrasound-guided injection of potassium chloride may constitute a safe, minimally invasive and reliable way to terminate the heterotopic gestation and preserve the intrauterine pregnancy. Intensive management should be performed during the ongoing pregnancy and cesarean section.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-1171-x) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Successful selective reduction of a heterotopic cesarean scar pregnancy in the second trimester: a case report and review of the literature

Luo

Zhao

et al. 2016

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…GS ¼ gestational sac; CX ¼ cervix; CSP ¼ cesarean scar pregnancy; CDS ¼ cul-de-sac. Fertility and Sterility â reduction by potassium chloride, or embryo aspiration (9)(10)(11)(12)(13). Successful management of heterotopic CSP relied on either fetal reduction with gestational tissue in situ or removal of ectopic gestational tissue (Table 1).…”

Section: Figurementioning

confidence: 99%

Hysteroscopic management of heterotopic cesarean scar pregnancy

Wang

Tsai²,

Chen³

et al. 2010

Fertility and Sterility

View full text Add to dashboard Cite

“…30 -max. 38) and thus earlier than in the cases of operative interventions [3,4,[8][9][10][11][12][13][14]. Also in two cases an immediate and severe postpartum bleeding occurred, in one case requiring ligation of the hypogastric artery.…”

Section: Drug Proceduresmentioning

confidence: 99%

Operative Therapy for Heterotopic Scar Pregnancy and Successful Birth of the Intrauterine Foetus – Case Report and Review of the Literature

Armbrust

Krätschell

Henrich

et al. 2015

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

A heterotopic pregnancy in the vicinity of a previous Caesarean section scar (HSP) occurs frequently after fertility treatment. In spite of the low incidence to date, the increasing numbers of Caesarean sections as well as IVF treatment will probably lead to a higher prevalence in the future. Up to now the literature contains only isolated case reports on therapeutic options. These range from conservative management through selective termination of the HSP by injections of methotrexate or potassium chloride into the amniotic sac to invasive methods such as resectoscopic removal or laparoscopy. In the case presented here we describe the successful excision of the HSP by laparotomy with a subsequent uncomplicated Caesarean section and delivery of a healthy baby at the 37?+?0 week of pregnancy.

show abstract

An unusual case of heterotopic twin pregnancy managed successfully with selective feticide

Cited by 23 publications

References 8 publications

Successful selective reduction of a heterotopic cesarean scar pregnancy in the second trimester: a case report and review of the literature

Successful selective reduction of a heterotopic cesarean scar pregnancy in the second trimester: a case report and review of the literature

Hysteroscopic management of heterotopic cesarean scar pregnancy

Operative Therapy for Heterotopic Scar Pregnancy and Successful Birth of the Intrauterine Foetus – Case Report and Review of the Literature

Contact Info

Product

Resources

About