Cervico-isthmic pregnancy developing within the scar of a previous cesarean section: a case report

Tolino, Achille; Battista, Lucia; Chiacchio, Gaetano; Rania, Erika; Materazzo, Caterina; Palomba, Stefano

doi:10.1007/s10397-009-0515-1

Cited by 4 publications

(2 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A surgical option with laparotomy and excision of the cesarean ectopic from the lower uterine segment and repair was also proposed. 11 The patient in the present report did not want to take any chance and emphasized the need for preserving the intrauterine twin pregnancy; therefore, the authors opted for the most conservative management possible.…”

Section: Discussionmentioning

confidence: 83%

Gestational Sac Aspiration of Heterotopic Ectopic Pregnancy in a Cesarean Section Scar

Mitwally¹,

Alami

Albuarki³

et al. 2013

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

Background: This article describes a case of heterotopic pregnancy that included a normal twin intrauterine pregnancy and one cesarean section (CS) scar pregnancy diagnosed at 6 weeks of gestation. Ultrasound-guided aspiration of the ectopic gestational sac was performed, and the concurrent twin intrauterine pregnancy (IUP) was preserved successfully. The patient was a 50-year-old woman with secondary infertility. Case: The patient underwent in vitro fertilization and embryo transfer using a donor-egg program to achieve pregnancy with her current partner. At 6-weeks' gestation, she underwent a transvaginal ultrasound scan (US) examination showing a viable twin IUP with a third gestational sac with viable embryo located low within the anterior wall of the uterus. The appearance was consistent with a cesarean scar ectopic pregnancy. This was confirmed on a subsequent US 1 week later. She desired to continue the intrauterine pregnancy. US-guided aspiration of the cesarean scar ectopic pregnancy was attempted. The treatment was successful. Results: The twin pregnancy progressed without further complications. Conclusions: Heterotopic CS ectopic pregnancy can be successfully treated with transvaginal US-guided aspiration.

show abstract

Section: Discussionmentioning

confidence: 83%

Gestational Sac Aspiration of Heterotopic Ectopic Pregnancy in a Cesarean Section Scar

Mitwally¹,

Alami

Albuarki³

et al. 2013

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

show abstract

“…Caesarean scar pregnancy, defined as a gestation completely surrounded by myometrium and fibrous tissue of the previous caesarean section scar, separated from the endometrial cavity and endocervical canal,1 is rare with a reported incidence between 1/1800 and 1/2200 of all pregnancies but the true incidence is unknown 2…”

Section: Discussionmentioning

confidence: 99%