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Management of heterotopic cesarean scar pregnancy with preservation of intrauterine pregnancy:A case report 被引量:2

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摘要 BACKGROUND Heterotopic cesarean scar pregnancy(HCSP)is very rare and has a high risk of massive uterine bleeding.Preservation of concurrent intrauterine pregnancy(IUP)is one of the great challenges in the management of HCSP.No universal treatment protocol has been established when IUP is desired to be preserved.CASE SUMMARY We report a case of HCSP at 8+wk gestation in a 34-year-old woman with stable hemodynamics.A two-step intervention was applied.Selective embryo aspiration was performed first,and surgical removal of ectopic gestational tissue by suction and curettage was performed 2 d later.Both steps were performed under ultrasound guidance.The patient had an uneventful course,and a healthy baby was delivered at 34+6 wk gestation.CONCLUSION Selective embryo aspiration followed by suction and curettage was successful in the preservation of IUP in the management of HCSP.This approach is an alternative option for HCSP in the first trimester when the IUP is desired to be preserved.
出处 《World Journal of Clinical Cases》 SCIE 2021年第22期6428-6434,共7页 世界临床病例杂志
基金 Supported by Zhejiang National Science Foundation,No.LGF20H04001 Zhejiang Bureau of Traditional Chinese Medicine,No.2017ZA092.
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