Successful Management of Heterotopic Cesarean Scar Pregnancy Combined with Intrauterine Pregnancy After in Vitro Fertilization-embryo Transfer

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.