Hysteroscopic management of heterotopic cesarean scar pregnancy

被引：55

作者：

Wang, Chin-Jung ^{[1
,2
]}

Tsai, Fengpo ^{[3
]}

Chen, Chaowen ^{[3
]}

Chao, Angel ^{[1
,2
]}

机构：

[1] Chang Gung Mem Hosp, Dept Obstet & Gynecol, Linkou, Taiwan

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

[3] Poyuan Women Clin, Changhua, Taiwan

来源：

FERTILITY AND STERILITY | 2010年 / 94卷 / 04期

关键词：

Cesarean scar; heterotopic; hysteroscopy; pregnancy; assisted reproductive technology; IN-VITRO FERTILIZATION; INTRAUTERINE;

D O I：

10.1016/j.fertnstert.2010.02.039

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To report a cesarean scar pregnancy (CSP) with a coexistent viable intrauterine pregnancy. Design: Case report. Setting: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou, Taiwan. Patient(s): A 31-year-old woman, with previous cesarean delivery, presented with vaginal bleeding, was transferred to our hospital at 7 weeks' gestation for heterotopic pregnancy after an IVF-embryo transfer. A diagnosis of intrauterine pregnancy combined with CSP was made by ultrasonography. Intervention(s): Hysteroscopic-directed evacuation of CSP. Main Outcome Measure(s): Good hemostasis at cesarean site and ongoing intrauterine pregnancy. Result(s): A healthy baby was delivered by cesarean delivery at term. Conclusion(s): With the increasing number of IVF-embryo transfers, the amount of heterotopic pregnancies is also increasing. Hysteroscopic management of CSP is a minimally invasive procedure that leads to successful obstetric outcomes in the corresponding intrauterine pregnancies. (Fertil Steril (R) 2010;94:1529.e15-e18. (C) 2010 by American Society for Reproductive Medicine.)

引用

页码：1529.e15 / 1529.e18

页数：4

共 13 条

[1] Hysteroscopic management of cesarean scar pregnancy after unsuccessful methotrexate treatment [J].

Chao, A ;

Wang, TH ;

Wang, CJ ;

Lee, CL ;

Chao, AS .

JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2005, 12 (04) :374-376

[2] Laparoscopic management of heterotopic cesarean scar pregnancy with preservation of intrauterine gestation and delivery at term: case report [J].

Demirel, L. Cem ;

Bodur, Harika ;

Selam, Belgin ;

Lembet, Arda ;

Ergin, Tolga .

FERTILITY AND STERILITY, 2009, 91 (04) :1293.e5-1293.e7

[3]

DOR J, 1991, FERTIL STERIL, V55, P833

[4] 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

[5] Successful resection of a heterotopic cervical pregnancy resulting from intracytoplasmic sperm injection [J].

Jozwiak, EA ;

Ulug, U ;

Akman, MA ;

Bahceci, M .

FERTILITY AND STERILITY, 2003, 79 (02) :428-430

[6] Hysteroscopic fluid monitoring guidelines [J].

Loffer, FD ;

Bradley, LD ;

Brill, AI ;

Brooks, PG ;

Cooper, JM .

JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, 2000, 7 (01) :167-168

[7]

MUNRO MG, 2006, GYNECOLOGY, P749

[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] HETEROTOPIC PREGNANCIES AFTER INVITRO FERTILIZATION AND EMBRYO TRANSFER - A DANISH SURVEY [J].

SVARE, J ;

NORUP, P ;

THOMSEN, SG ;

HORNNES, P ;

MAIGAARD, S ;

HELM, P ;

PETERSEN, K ;

ANDERSEN, AN .

HUMAN REPRODUCTION, 1993, 8 (01) :116-118

[10] Successful management of heterotopic cesarean scar pregnancy combined with intrauterine pregnancy after in vitro fertilization-embryo transfer [J].

Wang, Chao-Nin ;

Chen, Chun-Kai ;

Wang, Hsin-Shih ;

Chiueh, Ho-Yen ;

Soong, Yung-Kuei .

FERTILITY AND STERILITY, 2007, 88 (03) :706.e13-706.e16

← 1 2 →