Successful management of heterotopic cesarean scar pregnancy combined with intrauterine pregnancy after in vitro fertilization-embryo transfer

被引：23

作者：

Wang, Chao-Nin ^{[1
,2
]}

Chen, Chun-Kai ^{[1
,2
]}

Wang, Hsin-Shih ^{[1
,2
]}

Chiueh, Ho-Yen ^{[1
,2
]}

Soong, Yung-Kuei ^{[1
,2
]}

机构：

[1] Chang Gung Mem Hosp, Dept Obstet & Gynecol, Tao Yuan 333, Taiwan

[2] Chung Gung Univ, Coll Med, Tao Yuan, Taiwan

来源：

FERTILITY AND STERILITY | 2007年 / 88卷 / 03期

关键词：

Cesarean scar pregnancy; heterotopic pregnancy; potassium chloride; selective embryo reduction;

D O I：

10.1016/j.fertnstert.2006.11.192

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To present a case of cesarean scar pregnancy combined with intrauterine pregnancy after IVF-embryo transfer. Successful embryo reduction was performed and preserved the normal intrauterine gestation. Design: Case report. Setting: Tertiary referral case center. Patient(s): A woman with cesarean scar pregnancy combined with intrauterine pregnancy after IVF-embryo transfer. Intervention(s): Early diagnosis of heterotopic cesarean scar pregnancy and selective embryo reduction was performed by ultrasound-guided potassium chloride (KCl) directed injection. Main Outcome Measure(s): Successful pregnancy outcome. Result(s): A 38-year-old woman achieve pregnancy by IVF-embryo transfer. Heterotopic cesarean scar pregnancy was diagnosed at 7 weeks gestational age. A transvaginal ultrasound-guided KCl injection was given to terminate the cesarean scar embryo and a healthy infant was delivered 6 months later. Conclusion(s): Heterotopic cesarean scar pregnancy after IVF is extremely rare. Transvaginal intracardiac injection of KCl is a safe and reliable method to terminate the cesarean scar pregnancy. Satisfactory pregnancy outcome should be achieved. (Fertil Steril (R) 2007;88:706.e13-6. (c) 2007 by American Society for Reproductive Medicine.)

引用

页码：706.e13 / 706.e16

页数：4

共 10 条

[1] Extra-uterine pregnancy following assisted conception treatment [J].

Abusheikha, N ;

Salha, O ;

Brinsden, P .

HUMAN REPRODUCTION UPDATE, 2000, 6 (01) :80-92

[2] Maternal complication of cervical heterotopic pregnancy after successful potassium chloride fetal reduction [J].

Gyamfi, C ;

Cohen, S ;

Stone, JL .

FERTILITY AND STERILITY, 2004, 82 (04) :940-943

[3] Heterotopic Caesarean scar pregnancy combined with intrauterine pregnancy successfully treated with embryo aspiration for selective embryo reduction: Case report [J].

Hsieh, BC ;

Hwang, JL ;

Pan, HS ;

Huang, SC ;

Chen, CY ;

Chen, PH .

HUMAN REPRODUCTION, 2004, 19 (02) :285-287

[4]

Lam PM, 2002, J REPROD MED, V47, P332

[5]

LEVENO KJ, 2001, WILLIAMS OBSTET

[6]

MOLLOY D, 1990, FERTIL STERIL, V53, P1068

[7]

PELEG D, 1994, FERTIL STERIL, V62, P405

[8] Successful management of a heterotopic Caesarean scar pregnancy: potassium chloride injection with preservation of the intrauterine gestation: Case report [J].

Salomon, LJ ;

Fernandez, H ;

Chauveaud, A ;

Doumerc, S ;

Frydman, R .

HUMAN REPRODUCTION, 2003, 18 (01) :189-191

[9]

Seow KM, 2000, J REPROD MED, V45, P754

[10]

Timor-Tritsch IE, 1998, AM J OBSTET GYNECOL, V178, P193

← 1 →