Normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy: a case report

BACKGROUND: Heterotopic pregnancy with a combination of a caesarean scar pregnancy and an intrauterine pregnancy is rare and has potentially life-threatening complications. CASE PRESENTATION: We describe the case of a 27-year-old white woman who had experienced an emergency caesarean delivery at 39 ...

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Detalles Bibliográficos
Autores principales: Vikhareva, Olga, Nedopekina, Ekaterina, Herbst, Andreas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011475/
https://www.ncbi.nlm.nih.gov/pubmed/29925424
http://dx.doi.org/10.1186/s13256-018-1713-0
Descripción
Sumario:BACKGROUND: Heterotopic pregnancy with a combination of a caesarean scar pregnancy and an intrauterine pregnancy is rare and has potentially life-threatening complications. CASE PRESENTATION: We describe the case of a 27-year-old white woman who had experienced an emergency caesarean delivery at 39 weeks for fetal distress with no postpartum complications. This is a report of the successful expectant management of a heterotopic scar pregnancy. The gestational sac implanted into the scar area was non-viable. The woman was treated expectantly and had a normal vaginal delivery at 37 weeks of gestation. CONCLUSION: Expectant management under close monitoring can be appropriate in small non-viable heterotopic caesarean scar pregnancies.

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