Hysteroscopic management of heterotopic cesarean scar pregnancy

Chin Jung Wang, Fengpo Tsai, Chaowen Chen, Angel Chao*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

34 Scopus citations


Objective: To report a cesarean scar pregnancy (CSP) with a coexistent viable intrauterine pregnancy. Design: Case report. Setting: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou, Taiwan. Patient(s): A 31-year-old woman, with previous cesarean delivery, presented with vaginal bleeding, was transferred to our hospital at 7 weeks' gestation for heterotopic pregnancy after an IVF-embryo transfer. A diagnosis of intrauterine pregnancy combined with CSP was made by ultrasonography. Intervention(s): Hysteroscopic-directed evacuation of CSP. Main Outcome Measure(s): Good hemostasis at cesarean site and ongoing intrauterine pregnancy. Result(s): A healthy baby was delivered by cesarean delivery at term. Conclusion(s): With the increasing number of IVF-embryo transfers, the amount of heterotopic pregnancies is also increasing. Hysteroscopic management of CSP is a minimally invasive procedure that leads to successful obstetric outcomes in the corresponding intrauterine pregnancies.

Original languageEnglish
Pages (from-to)1529.e15-1529.e18
JournalFertility and Sterility
Issue number4
StatePublished - 09 2010
Externally publishedYes


  • Cesarean scar
  • assisted reproductive technology
  • heterotopic
  • hysteroscopy
  • pregnancy


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