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

Olga Vikhareva,Ekaterina Nedopekina,Andreas Herbst

doi:10.1186/s13256-018-1713-0

Olga Vikhareva, Ekaterina Nedopekina + Show 1 more

Open Access

https://doi.org/10.1186/s13256-018-1713-0

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Abstract

BackgroundHeterotopic pregnancy with a combination of a caesarean scar pregnancy and an intrauterine pregnancy is rare and has potentially life-threatening complications.Case presentationWe 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.ConclusionExpectant management under close monitoring can be appropriate in small non-viable heterotopic caesarean scar pregnancies.

Highlights

Heterotopic pregnancy with a combination of a caesarean scar pregnancy and an intrauterine pregnancy is rare and has potentially life-threatening complications
Heterotopic caesarean scar pregnancy (CSP), in which one gestational sac is located in the caesarean scar area and the other one is a normal intrauterine pregnancy, is rare and may have potentially life-threatening complications
It is a challenge to manage a heterotopic CSP with preservation of the intrauterine pregnancy minimizing the risks for mother and child

Summary

Introduction

Heterotopic pregnancy with a combination of a caesarean scar pregnancy and an intrauterine pregnancy is rare and has potentially life-threatening complications. Background Heterotopic caesarean scar pregnancy (CSP), in which one gestational sac is located in the caesarean scar area and the other one is a normal intrauterine pregnancy, is rare and may have potentially life-threatening complications. It is a challenge to manage a heterotopic CSP with preservation of the intrauterine pregnancy minimizing the risks for mother and child. We offer women with one previous caesarean section participation in an ongoing study of transvaginal ultrasound examinations in each trimester.

Results

Conclusion