Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2021; 9(22): 6428-6434
Published online Aug 6, 2021. doi: 10.12998/wjcc.v9.i22.6428
Management of heterotopic cesarean scar pregnancy with preservation of intrauterine pregnancy: A case report
Zheng-Yun Chen, Yong Zhou, Yue Qian, Jia-Min Luo, Xiu-Feng Huang, Xin-Mei Zhang
Zheng-Yun Chen, Yong Zhou, Xiu-Feng Huang, Xin-Mei Zhang, Department of Gynecology, Women’s Hospital School of Medicine, Zhejiang University, Hangzhou 310006, Zhejiang Province, China
Yue Qian, Jia-Min Luo, Department of Sonography, Women’s Hospital School of Medicine, Zhejiang University, Hangzhou 310006, Zhejiang Province, China
Author contributions: Chen ZY was the main surgeon of this surgery and involved in the concept and design of this manuscript and drafting the article; Zhou Y participated in the surgery and prepared the figures; Qian Y and Luo JM performed ultrasound guidance and prepared the figures; Huang XF and Zhang XM critically revised the manuscript for important intellectual content; all authors contributed toward data analysis and drafting and critically revising the paper, gave final approval of the version to be published, and agreed to be accountable for all aspects of the work.
Supported by Zhejiang National Science Foundation, No. LGF20H04001; and Zhejiang Bureau of Traditional Chinese Medicine, No. 2017ZA092.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors report no competing interest in this work.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiu-Feng Huang, MD, Chief Doctor, Department of Gynecology, Women’s Hospital School of Medicine, Zhejiang University, No. 1 Xueshi Road, Hangzhou 310006, Zhejiang Province, China. huangxiufeng@zju.edu.cn
Received: April 13, 2021
Peer-review started: April 13, 2021
First decision: May 11, 2021
Revised: May 24, 2021
Accepted: June 1, 2021
Article in press: June 1, 2021
Published online: August 6, 2021
Processing time: 105 Days and 23.1 Hours
Core Tip

Core Tip: Preservation of intrauterine pregnancy (IUP) is challenging in the management of heterotopic cesarean scar pregnancy (HCSP). A consensus for the management of HCSP has not been established. We present that selective embryo aspiration followed by suction and curettage is a reliable and minimally invasive approach for the preservation of IUP. It is suggested to be an alternative option for HCSP in the first trimester when the IUP is desired to be preserved.