Management of heterotopic cesarean scar pregnancy with preservation of intrauterine pregnancy: A case report.
World J Clin Cases
; 9(22): 6428-6434, 2021 Aug 06.
Article
em En
| MEDLINE
| ID: mdl-34435008
ABSTRACT
BACKGROUND:
Heterotopic cesarean scar pregnancy (HCSP) is very rare and has a high risk of massive uterine bleeding. Preservation of concurrent intrauterine pregnancy (IUP) is one of the great challenges in the management of HCSP. No universal treatment protocol has been established when IUP is desired to be preserved. CASESUMMARY:
We report a case of HCSP at 8+ wk gestation in a 34-year-old woman with stable hemodynamics. A two-step intervention was applied. Selective embryo aspiration was performed first, and surgical removal of ectopic gestational tissue by suction and curettage was performed 2 d later. Both steps were performed under ultrasound guidance. The patient had an uneventful course, and a healthy baby was delivered at 34+6 wk gestation.CONCLUSION:
Selective embryo aspiration followed by suction and curettage was successful in the preservation of IUP in the management of HCSP. This approach is an alternative option for HCSP in the first trimester when the IUP is desired to be preserved.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Guideline
Idioma:
En
Revista:
World J Clin Cases
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
China