Embryology Research Today is a free monthly online journal that collates and summarizes the latest research about Embryology, including details on stem cells, reproduction, transplants, cloning.

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

Wang CN, Chen CK, Wang HS, Chiueh HY, Soong YK

Department of Obstetrics and Gynecology, Chang-Gung Memorial Hospital, Taoyuan, Taiwan.

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. DESIGN: Case report. SETTING: Tertiary referral case center. PATIENT(S): A woman with cesarean scar pregnancy combined with intrauterine pregnancy after IVF-embryo transfer. INTERVENTION(S): Early diagnosis of heterotopic cesarean scar pregnancy and selective embryo reduction was performed by ultrasound-guided potassium chloride (KCl) directed injection. MAIN OUTCOME MEASURE(S): Successful pregnancy outcome. RESULT(S): 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. CONCLUSION(S): 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.

Published 11 September 2007 in Fertil Steril, 88(3): 706.e13-6.
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