Gestational sac aspiration of heterotopic ectopic pregnancy in a cesarean section scar

Mohamed F. Mitwally, Reda Alami, Hafsa Albuarki, Michael P. Diamond, Mostafa Abuzeid, Michael H. Fakih

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: This article describes a case of heterotopic pregnancy that included a normal twin intrauterine pregnancy and one cesarean section (CS) scar pregnancy diagnosed at 6 weeks of gestation. Ultrasound-guided aspiration of the ectopic gestational sac was performed, and the concurrent twin intrauterine pregnancy (IUP) was preserved successfully. The patient was a 50-year-old woman with secondary infertility. Case: The patient underwent in vitro fertilization and embryo transfer using a donor-egg program to achieve pregnancy with her current partner. At 6-weeks' gestation, she underwent a transvaginal ultrasound scan (US) examination showing a viable twin IUP with a third gestational sac with viable embryo located low within the anterior wall of the uterus. The appearance was consistent with a cesarean scar ectopic pregnancy. This was confirmed on a subsequent US 1 week later. She desired to continue the intrauterine pregnancy. US-guided aspiration of the cesarean scar ectopic pregnancy was attempted. The treatment was successful. Results: The twin pregnancy progressed without further complications. Conclusions: Heterotopic CS ectopic pregnancy can be successfully treated with transvaginal US-guided aspiration. (J GYNECOL SURG 29:317)

Original languageEnglish (US)
Pages (from-to)317-320
Number of pages4
JournalJournal of Gynecologic Surgery
Volume29
Issue number6
DOIs
StatePublished - Dec 1 2013

Fingerprint

Heterotopic Pregnancy
Gestational Sac
Ectopic Pregnancy
Twin Pregnancy
Cesarean Section
Cicatrix
Pregnancy
Embryo Transfer
Fertilization in Vitro
Infertility
Uterus
Ovum
Embryonic Structures
Tissue Donors

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology

Cite this

Gestational sac aspiration of heterotopic ectopic pregnancy in a cesarean section scar. / Mitwally, Mohamed F.; Alami, Reda; Albuarki, Hafsa; Diamond, Michael P.; Abuzeid, Mostafa; Fakih, Michael H.

In: Journal of Gynecologic Surgery, Vol. 29, No. 6, 01.12.2013, p. 317-320.

Research output: Contribution to journalArticle

Mitwally, Mohamed F. ; Alami, Reda ; Albuarki, Hafsa ; Diamond, Michael P. ; Abuzeid, Mostafa ; Fakih, Michael H. / Gestational sac aspiration of heterotopic ectopic pregnancy in a cesarean section scar. In: Journal of Gynecologic Surgery. 2013 ; Vol. 29, No. 6. pp. 317-320.
@article{cd40b5e3e6724ee7a8d87a8066f0fa9d,
title = "Gestational sac aspiration of heterotopic ectopic pregnancy in a cesarean section scar",
abstract = "Background: This article describes a case of heterotopic pregnancy that included a normal twin intrauterine pregnancy and one cesarean section (CS) scar pregnancy diagnosed at 6 weeks of gestation. Ultrasound-guided aspiration of the ectopic gestational sac was performed, and the concurrent twin intrauterine pregnancy (IUP) was preserved successfully. The patient was a 50-year-old woman with secondary infertility. Case: The patient underwent in vitro fertilization and embryo transfer using a donor-egg program to achieve pregnancy with her current partner. At 6-weeks' gestation, she underwent a transvaginal ultrasound scan (US) examination showing a viable twin IUP with a third gestational sac with viable embryo located low within the anterior wall of the uterus. The appearance was consistent with a cesarean scar ectopic pregnancy. This was confirmed on a subsequent US 1 week later. She desired to continue the intrauterine pregnancy. US-guided aspiration of the cesarean scar ectopic pregnancy was attempted. The treatment was successful. Results: The twin pregnancy progressed without further complications. Conclusions: Heterotopic CS ectopic pregnancy can be successfully treated with transvaginal US-guided aspiration. (J GYNECOL SURG 29:317)",
author = "Mitwally, {Mohamed F.} and Reda Alami and Hafsa Albuarki and Diamond, {Michael P.} and Mostafa Abuzeid and Fakih, {Michael H.}",
year = "2013",
month = "12",
day = "1",
doi = "10.1089/gyn.2012.0026",
language = "English (US)",
volume = "29",
pages = "317--320",
journal = "Journal of Gynecologic Surgery",
issn = "1042-4067",
publisher = "Mary Ann Liebert Inc.",
number = "6",

}

TY - JOUR

T1 - Gestational sac aspiration of heterotopic ectopic pregnancy in a cesarean section scar

AU - Mitwally, Mohamed F.

AU - Alami, Reda

AU - Albuarki, Hafsa

AU - Diamond, Michael P.

AU - Abuzeid, Mostafa

AU - Fakih, Michael H.

PY - 2013/12/1

Y1 - 2013/12/1

N2 - Background: This article describes a case of heterotopic pregnancy that included a normal twin intrauterine pregnancy and one cesarean section (CS) scar pregnancy diagnosed at 6 weeks of gestation. Ultrasound-guided aspiration of the ectopic gestational sac was performed, and the concurrent twin intrauterine pregnancy (IUP) was preserved successfully. The patient was a 50-year-old woman with secondary infertility. Case: The patient underwent in vitro fertilization and embryo transfer using a donor-egg program to achieve pregnancy with her current partner. At 6-weeks' gestation, she underwent a transvaginal ultrasound scan (US) examination showing a viable twin IUP with a third gestational sac with viable embryo located low within the anterior wall of the uterus. The appearance was consistent with a cesarean scar ectopic pregnancy. This was confirmed on a subsequent US 1 week later. She desired to continue the intrauterine pregnancy. US-guided aspiration of the cesarean scar ectopic pregnancy was attempted. The treatment was successful. Results: The twin pregnancy progressed without further complications. Conclusions: Heterotopic CS ectopic pregnancy can be successfully treated with transvaginal US-guided aspiration. (J GYNECOL SURG 29:317)

AB - Background: This article describes a case of heterotopic pregnancy that included a normal twin intrauterine pregnancy and one cesarean section (CS) scar pregnancy diagnosed at 6 weeks of gestation. Ultrasound-guided aspiration of the ectopic gestational sac was performed, and the concurrent twin intrauterine pregnancy (IUP) was preserved successfully. The patient was a 50-year-old woman with secondary infertility. Case: The patient underwent in vitro fertilization and embryo transfer using a donor-egg program to achieve pregnancy with her current partner. At 6-weeks' gestation, she underwent a transvaginal ultrasound scan (US) examination showing a viable twin IUP with a third gestational sac with viable embryo located low within the anterior wall of the uterus. The appearance was consistent with a cesarean scar ectopic pregnancy. This was confirmed on a subsequent US 1 week later. She desired to continue the intrauterine pregnancy. US-guided aspiration of the cesarean scar ectopic pregnancy was attempted. The treatment was successful. Results: The twin pregnancy progressed without further complications. Conclusions: Heterotopic CS ectopic pregnancy can be successfully treated with transvaginal US-guided aspiration. (J GYNECOL SURG 29:317)

UR - http://www.scopus.com/inward/record.url?scp=84890488435&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84890488435&partnerID=8YFLogxK

U2 - 10.1089/gyn.2012.0026

DO - 10.1089/gyn.2012.0026

M3 - Article

AN - SCOPUS:84890488435

VL - 29

SP - 317

EP - 320

JO - Journal of Gynecologic Surgery

JF - Journal of Gynecologic Surgery

SN - 1042-4067

IS - 6

ER -