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


METHODS
Case report.


METHODS
Tertiary referral case center.


METHODS
A woman with cesarean scar pregnancy combined with intrauterine pregnancy after IVF-embryo transfer.


METHODS
Early diagnosis of heterotopic cesarean scar pregnancy and selective embryo reduction was performed by ultrasound-guided potassium chloride (KCl) directed injection.


METHODS
Successful pregnancy outcome.


RESULTS
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.


CONCLUSIONS
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.
Department of Obstetrics and Gynecology, Chang-Gung Memorial Hospital, Taoyuan, Taiwan.
Chao-Nin
CN
Wang
Chun-Kai
CK
Chen
Hsin-Shih
HS
Wang
Ho-Yen
HY
Chiueh
Yung-Kuei
YK
Soong
D000028:Abortion, Induced / Q000379:methods; D000293:Adolescent; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000209:etiology; D005260:Female; D006801:Humans; D011189:Potassium Chloride; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000628:therapy*
D011189:Potassium Chloride