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

Vikhareva, Olga LU ; Nedopekina, Ekaterina LU and Herbst, Andreas LU (2018) In Journal of Medical Case Reports 12(1).
Abstract

Background: Heterotopic pregnancy with a combination of a caesarean scar pregnancy and an intrauterine pregnancy is rare and has potentially life-threatening complications. Case presentation: We 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. Conclusion: Expectant management under close monitoring can be appropriate in small non-viable heterotopic caesarean scar pregnancies.

Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Expectant management, Heterotopic caesarean scar pregnancy, Vaginal delivery
in
Journal of Medical Case Reports
volume
12
issue
1
article number
179
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85048819178
  • pmid:29925424
ISSN
1752-1947
DOI
10.1186/s13256-018-1713-0
language
English
LU publication?
yes
id
7b832e12-eba2-494e-8f7b-2cac7811c714
date added to LUP
2018-07-05 11:03:38
date last changed
2024-06-10 14:47:51
@article{7b832e12-eba2-494e-8f7b-2cac7811c714,
  abstract     = {{<p>Background: Heterotopic pregnancy with a combination of a caesarean scar pregnancy and an intrauterine pregnancy is rare and has potentially life-threatening complications. Case presentation: We 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. Conclusion: Expectant management under close monitoring can be appropriate in small non-viable heterotopic caesarean scar pregnancies.</p>}},
  author       = {{Vikhareva, Olga and Nedopekina, Ekaterina and Herbst, Andreas}},
  issn         = {{1752-1947}},
  keywords     = {{Expectant management; Heterotopic caesarean scar pregnancy; Vaginal delivery}},
  language     = {{eng}},
  month        = {{06}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{Journal of Medical Case Reports}},
  title        = {{Normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy : A case report}},
  url          = {{http://dx.doi.org/10.1186/s13256-018-1713-0}},
  doi          = {{10.1186/s13256-018-1713-0}},
  volume       = {{12}},
  year         = {{2018}},
}