Open Access 01-12-2018 | Case report
Normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy: a case report
Published in: Journal of Medical Case Reports | Issue 1/2018
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Background
Heterotopic pregnancy with a combination of a caesarean scar pregnancy and an intrauterine pregnancy is rare and has potentially life-threatening complications.
Case presentation
We describe the case of a 27-year-old white woman who had experienced an emergency caesarean delivery at 39 weeks for fetal distress with no postpartum complications. This is a report of the successful expectant management of a heterotopic scar pregnancy. The gestational sac implanted into the scar area was non-viable. The woman was treated expectantly and had a normal vaginal delivery at 37 weeks of gestation.
Conclusion
Expectant management under close monitoring can be appropriate in small non-viable heterotopic caesarean scar pregnancies.