title: Heterotopic Caesarean scar pregnancy combined with intrauterine pregnancy successfully treated with embryo aspiration for selective embryo reduction: case report.
abstract: Ectopic pregnancy situated in a Caesarean section scar is a rare but potentially life-threatening event. Because of its rarity, there are no universal treatment guidelines to manage this condition. We report a case of IVF-induced triplet heterotopic pregnancy of early gestational age that included one Caesarean scar pregnancy diagnosed as early as 6 weeks gestation. Treatment with embryo aspiration under vaginal ultrasonography for selective embryo reduction was given and the concurrent intrauterine twin pregnancy was preserved successfully.
authors.affiliation: Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, and School of Medicine, Fu Jen Catholic University, Taipei, Taiwan.
authors.forename: Bih-Chwen
authors.initials: BC
authors.lastname: Hsieh
authors.forename: Jiann-Loung
authors.initials: JL
authors.lastname: Hwang
authors.forename: Hun-Shan
authors.initials: HS
authors.lastname: Pan
authors.forename: Shih-Chia
authors.initials: SC
authors.lastname: Huang
authors.forename: Chin-Yu
authors.initials: CY
authors.lastname: Chen
authors.forename: Pei-Hsin
authors.initials: PH
authors.lastname: Chen
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix; D005260:Female; D005307:Fertilization in Vitro; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D018607:Pregnancy Reduction, Multifetal; D011271:Pregnancy, Ectopic / Q000628:therapy*; D011272:Pregnancy, Multiple; D013396:Suction; D014310:Triplets; D014463:Ultrasonography; D014591:Uterine Diseases; D014621:Vagina