Laparoscopic Management of Heterotopic Cesarean Scar Pregnancy with Preservation of Intrauterine Gestation and Delivery at Term: Case Report

Objective: To present a case of laparoscopic removal of a heterotopic cesarean scar pregnancy under ultrasound guidance.

Design: Case report.

Setting: Private hospital.

Patient(s): A 34-year-old woman with heterotopic cesarean scar pregnancy.

Intervention(s): Laparoscopic removal of heterotopic cesarean scar pregnancy.

Main Outcome Measure(s): Delivery at term after laparoscopic management of heterotopic cesarean scar pregnancy.

Result(s): An ongoing intrauterine pregnancy ended with a live birth after successful removal of the heterotopic gestational mass by a laparoscopic approach.

Conclusion(s): Surgical removal of the ectopic mass by laparoscopy may be a radical approach in cases of heterotopic cesarean scar pregnancy. Laparoscopic excision of the cesarean scar pregnancy gives the opportunity to preserve the viable intrauterine gestation while maintaining a strong lower uterine segment. Ultrasound is an adjunctive tool that enables precise location of the ectopic mass during the operation.