Hysteroscopic management of heterotopic cesarean scar pregnancy

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.