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Human Reproduction, Vol. 19, No. 2, 285-287, February 2004
© 2004 European Society of Human Reproduction and Embryology

Heterotopic Caesarean scar pregnancy combined with intrauterine pregnancy successfully treated with embryo aspiration for selective embryo reduction: Case report

Bih-Chwen Hsieh1,2, Jiann-Loung Hwang1,3, Hun-Shan Pan1,4, Shih-Chia Huang1, Chin-Yu Chen1 and Pei-Hsin Chen1

1 Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, 2 School of Medicine, Fu Jen Catholic University, Taipei and 3 Department of Obstetrics and Gynecology, Taipei Medical University, Taipei, Taiwan

4 To whom correspondence should be addressed at: Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wen Chang Road, Shin Lin District, Taipei, Taiwan. e-mail: m004407{at}ms.skh.org.tw

Ectopic pregnancy situated in a Caesarean section scar is a rare but potentially life-threatening event. Because of its rarity, there are no universal treatment guidelines to manage this condition. We report a case of IVF-induced triplet heterotopic pregnancy of early gestational age that included one Caesarean scar pregnancy diagnosed as early as 6 weeks gestation. Treatment with embryo aspiration under vaginal ultrasonography for selective embryo reduction was given and the concurrent intrauterine twin pregnancy was preserved successfully.

Key words: Caesarean scar pregnancy/embryo aspiration/heterotopic pregnancy/selective embryo reduction


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