Laparoscopic management of heterotopic cesarean scar pregnancy with preservation of intrauterine gestation and delivery at term: case report

Demirel, L.C.; Bodur, Harika; Selam, Belgin; Lembet, Arda; Ergin, Tolga

doi:10.1016/j.fertnstert.2008.01.067

Cited by 45 publications

(39 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

See 1 more Smart Citation

Hysteroscopic management of heterotopic cesarean scar pregnancy

Wang

Tsai²,

Chen³

et al. 2010

Fertility and Sterility

View full text Add to dashboard Cite

Section: Figurementioning

confidence: 99%

“…Laparoscopic removal of ectopic mass in heterotopic CSP with good pregnancy outcome has been reported (13). However, to follow the principles of laparotomy (12), proper anatomic dissection, trim of unhealthy tissues, and repair of the uterine defect should be performed at the same time by laparoscopy.…”

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

“…Laparoscopic removal of caesarean ectopic mass with successful outcome of the intrauterine pregnancy has also been reported in the past (Demirel et al 2008).…”

Section: Discussionmentioning

confidence: 90%

Heterotopic caesarean section scar pregnancy

Gupta¹,

Vaikousi²,

Whitlow³

2010

Journal of Obstetrics and Gynaecology

View full text Add to dashboard Cite

A 37-year-old woman with four previous caesarean sections presented with lower abdominal discomfort the day after her embryo transfer. Her ovaries were hyperstimulated with minimal ascites on ultrasound scan. Subsequently, she developed severe ovarian hyperstimulation syndrome with severe ascites for which supportive treatment was given and paracentesis was performed. On transvaginal sonography ( Figure 1) after 25 days of embryo transfer, a dichorionic twin pregnancy was diagnosed. The first gestational sac was situated at the fundus and the other was lower down, immediately over the caesarean section scar. Both the sacs had a fetal pole each of 2 mm, with visible fetal heart beats. A diagnosis of heterotopic caesarean scar pregnancy was made.At this stage, both pregnancies had a reasonable chance of progressing, although there was a risk of spontaneous miscarriage. The findings and options of expectant management, termination of both the pregnancies and selective termination of scar pregnancy were discussed with the couple. Selective embryo reduction was performed 2 days later at a gestational age of 6 weeksþ3 days, by transvaginal needle aspiration of the pregnancy implanted in the caesarean scar under ultrasound guidance. At the end of the procedure there was no embryonic cardiac activity in the scar pregnancy and the other pregnancy in the uterus appeared intact.A follow-up scan at 12 weeks showed a single viable gestation sac located in the uterine fundus ( Figure 2). Unfortunately, the scan at 12 weeks' gestational age showed that the remaining viable fetus had a cystic hygroma. A chorionic villus sampling diagnosed trisomy 13, and a suction termination of pregnancy was performed without further complications.

show abstract

“…Demirel et al (2009) performed a laparoscopic excision of the scar pregnancy, the intrauterine foetus was delivered by (an uncomplicated) Caesarean section in the 38th week of pregnancy [6]. The second case report of an operative intervention was published by Wang et al in 2010 [7]: a resectoscopic ablation was carried out with subsequent curettage in this region [10].…”

Section: Operative 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

Laparoscopic management of heterotopic cesarean scar pregnancy with preservation of intrauterine gestation and delivery at term: case report

Cited by 45 publications

References 6 publications

Hysteroscopic management of heterotopic cesarean scar pregnancy

Hysteroscopic management of heterotopic cesarean scar pregnancy

Heterotopic caesarean section 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