Successful management of a triplet heterotopic caesarean scar pregnancy after in vitro fertilization-embryo transfer

Fertility and Sterility
Katarzyna LitwickaTiziana Frusca

Abstract

To report a case of a triplet heterotopic caesarean scar pregnancy (CSP) with two gestational sacs implanted in the caesarean scar after in vitro fertilization-embryo transfer. Case report. Private reproductive medicine center and obstetric department of a university hospital. A 31-year-old woman with previous caesarean section affected by secondary infertility related to male azoospermia. In vitro fertilization-embryo transfer followed by early ultrasound diagnosis of heterotopic CSP and selective embryo reduction performed by transvaginal ultrasound-guided potassium chloride and methotrexate injection in the ectopic gestational sacs. Successful pregnancy outcome. An ongoing intrauterine pregnancy with a live birth after successful management of ectopic gestational sacs. Triplet heterotopic CSP with two ectopic gestational sacs may occur after IVF-ET and, to our knowledge, this is the first time such a complication has been reported. Ultrasound is the main tool allowing early diagnosis of this condition, and the injection of potassium chloride and methotrexate is a safe and efficacious treatment method. The gynecologist managing early pregnancy should be aware of the possibility of CSP, and patients must be appropriately couns...Continue Reading

References

Jun 1, 1997·American Journal of Obstetrics and Gynecology·V L BakerM C Cadieux
Oct 14, 2003·American Journal of Medical Genetics. Part a·Margaret P AdamH Eugene Hoyme
Sep 29, 2006·Journal of Perinatology : Official Journal of the California Perinatal Association·D GoffmanD J Garry
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Citations

Apr 21, 2012·American Journal of Obstetrics and Gynecology·Ilan E Timor-Tritsch, Ana Monteagudo
Dec 17, 2014·Taiwanese Journal of Obstetrics & Gynecology·Yeou-Lih WangTsung-Hsien Su
Aug 27, 2014·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Zhenbo OuYangYanhong Yu
Apr 18, 2015·Reproductive Biology and Endocrinology : RB&E·Bassem RefaatWilliam L Ledger
Jan 21, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Yan OuyangXihong Li

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