Expectant management of heterotopic cesarean scar pregnancy / 中华医学杂志(英文版)
Chinese Medical Journal
;
(24): 1341-1344, 2012.
Article
in English
| WPRIM
| ID: wpr-269247
ABSTRACT
<p><b>BACKGROUND</b>Heterotopic cesarean scar pregnancy (HCSP) is a very rare but life-threatening entity and there is no optimal management strategy. Here we report a successfully managed case of HCSP with expectant treatment in a tertiary referral hospital.</p><p><b>METHODS</b>A woman with HCSP after in vitro fertilization-embryo transfer opted for expectant treatment after five days of mild bleeding and ultrasound demonstrated cardiac activity disappearance of the scar pregnancy at 8(+4) weeks of gestation.</p><p><b>RESULTS</b>The patient had mild to moderate bleeding during close monitoring. Three days later, speculum examination revealed the gestational mass was partly protruding at the os of the cervix and it was removed with forceps without massive hemorrhage. A healthy male baby was delivered by cesarean section at gestational age of 36(+4) weeks.</p><p><b>CONCLUSIONS</b>The expectant method might be an alternative option for a HCSP with loss of cardiac activity of the scar pregnancy, when applied under supportive management and with available emergency surgery facilities.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pregnancy, Ectopic
/
Diagnostic Imaging
/
Pregnancy Outcome
/
Fertilization in Vitro
/
Ultrasonography
/
Embryo Transfer
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
/
Male
/
Pregnancy
Language:
English
Journal:
Chinese Medical Journal
Year:
2012
Type:
Article
Similar
MEDLINE
...
LILACS
LIS