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  • Title: Successful management of heterotopic cesarean scar pregnancy combined with intrauterine pregnancy after in vitro fertilization-embryo transfer.
    Author: Wang CN, Chen CK, Wang HS, Chiueh HY, Soong YK.
    Journal: Fertil Steril; 2007 Sep; 88(3):706.e13-6. PubMed ID: 17681305.
    Abstract:
    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.
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