![](/images/graphics-bg.png)
Selective Reduction of a Heterotopic Cesarean Scar Pregnancy Complicated by Septic Abortion
Joint Authors
Tymon-Rosario, Joan
Chuang, Meleen
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-21
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Heterotopic pregnancy involving the implantation of an ectopic pregnancy into a prior cesarean scar with a concurrent intrauterine pregnancy is a rare and potentially life-threatening condition with minimal information in the literature to guide treatment and management options.
Case.
A 40-year-old G5P3103 at 12 weeks and 3 days with a history of two cesarean deliveries was diagnosed with a live heterotopic pregnancy containing a cesarean scar ectopic and an intrauterine pregnancy.
After selective reduction of the cesarean scar gestation with potassium chloride (KCl), the patient presented ten days later to the emergency department with septic abortion and sepsis.
The patient underwent bilateral uterine artery embolization followed by ultrasound guided uterine evacuation with dilation and curettage, which was complicated by intraoperative hemorrhage and persistent bacteremia.
The patient had resolution of her bacteremia after total abdominal hysterectomy.
Conclusion.
Conservative management of uterine infection resulting from selective reduction of a heterotopic pregnancy cesarean scar pregnancy may be considered; however, severe septicemia and persistent bacteremia may necessitate definitive surgical management.
American Psychological Association (APA)
Tymon-Rosario, Joan& Chuang, Meleen. 2018. Selective Reduction of a Heterotopic Cesarean Scar Pregnancy Complicated by Septic Abortion. Case Reports in Obstetrics and Gynecology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145845
Modern Language Association (MLA)
Tymon-Rosario, Joan& Chuang, Meleen. Selective Reduction of a Heterotopic Cesarean Scar Pregnancy Complicated by Septic Abortion. Case Reports in Obstetrics and Gynecology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1145845
American Medical Association (AMA)
Tymon-Rosario, Joan& Chuang, Meleen. Selective Reduction of a Heterotopic Cesarean Scar Pregnancy Complicated by Septic Abortion. Case Reports in Obstetrics and Gynecology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145845
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145845