Kim Hyoeun, Koh Ji Hye, Lee Jihee, Sim Yeongeun, Lee Sang-Hun, Lee Soo-Jeong, Ahn Jun-Woo, Roh Hyun-Jin, Kim Jeong Sook
Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan 44033, Korea.
Diagnostics (Basel). 2022 Mar 21;12(3):762. doi: 10.3390/diagnostics12030762.
Heterotopic cesarean scar pregnancy (HCSP) is a combination of cesarean scar pregnancy (CSP) and intrauterine pregnancy (IUP). Cesarean scar pregnancy is accompanied by life-threatening complications, such as uterine rupture and massive bleeding. Herein, we present a case of HCSP treated with selective potassium chloride injection into the CSP under ultrasonography in association with uterine cerclage to control vaginal bleeding; this led to a successful IUP preservation and full-term delivery. Additionally, we will review several previous reports on HCSP management, including our case.
剖宫产瘢痕部位异位妊娠(HCSP)是剖宫产瘢痕妊娠(CSP)与宫内妊娠(IUP)的合并情况。剖宫产瘢痕妊娠伴有危及生命的并发症,如子宫破裂和大出血。在此,我们报告1例HCSP患者,在超声引导下向CSP部位选择性注射氯化钾并联合子宫环扎术以控制阴道出血,成功保留了IUP并实现足月分娩。此外,我们将回顾既往关于HCSP治疗的几份报告,包括我们的病例。