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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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
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author Vikhareva, Olga
Nedopekina, Ekaterina
Herbst, Andreas
author_facet Vikhareva, Olga
Nedopekina, Ekaterina
Herbst, Andreas
author_sort Vikhareva, Olga
collection PubMed
description 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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spelling pubmed-60114752018-07-05 Normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy: a case report Vikhareva, Olga Nedopekina, Ekaterina Herbst, Andreas J Med Case Rep 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 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. BioMed Central 2018-06-21 /pmc/articles/PMC6011475/ /pubmed/29925424 http://dx.doi.org/10.1186/s13256-018-1713-0 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Vikhareva, Olga
Nedopekina, Ekaterina
Herbst, Andreas
Normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy: a case report
title Normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy: a case report
title_full Normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy: a case report
title_fullStr Normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy: a case report
title_full_unstemmed Normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy: a case report
title_short Normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy: a case report
title_sort normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy: a case report
topic Case Report
url 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
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