Management of heterotopic cesarean scar pregnancy with preservation of intrauterine pregnancy:A case report  

作　　者：Zheng-Yun Chen Yong Zhou Yue Qian Jia-Min Luo Xiu-Feng Huang Xin-Mei Zhang 

机构地区：[1]Department of Gynecology,Women’s Hospital School of Medicine,Zhejiang University,Hangzhou 310006,Zhejiang Province,China [2]Department of Sonography,Women’s Hospital School of Medicine,Zhejiang University,Hangzhou 310006,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2021年第22期6428-6434,共7页世界临床病例杂志

基　　金：Supported by Zhejiang National Science Foundation,No.LGF20H04001;Zhejiang Bureau of Traditional Chinese Medicine,No.2017ZA092.

摘　　要：BACKGROUND Heterotopic cesarean scar pregnancy(HCSP)is very rare and has a high risk of massive uterine bleeding.Preservation of concurrent intrauterine pregnancy(IUP)is one of the great challenges in the management of HCSP.No universal treatment protocol has been established when IUP is desired to be preserved.CASE SUMMARY We report a case of HCSP at 8+wk gestation in a 34-year-old woman with stable hemodynamics.A two-step intervention was applied.Selective embryo aspiration was performed first,and surgical removal of ectopic gestational tissue by suction and curettage was performed 2 d later.Both steps were performed under ultrasound guidance.The patient had an uneventful course,and a healthy baby was delivered at 34+6 wk gestation.CONCLUSION Selective embryo aspiration followed by suction and curettage was successful in the preservation of IUP in the management of HCSP.This approach is an alternative option for HCSP in the first trimester when the IUP is desired to be preserved.

关 键 词：Cesarean scar Embryo aspiration Heterotopic pregnancy Intervention Suction and curettage Case report 

分 类 号：R713.8[医药卫生—妇产科学]