Related Experiment Video
Updated: Jun 14, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Hysteroscopic management of heterotopic cesarean scar pregnancy
Chin-Jung Wang1, Fengpo Tsai2, Chaowen Chen2
1Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou and Chang Gung University College of Medicine, Kwei-Shan, Tao-Yuan.
Objective:
To report a cesarean scar pregnancy (CSP) with a coexistent viable intrauterine pregnancy.
Design:
Case report.
Setting:
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou, Taiwan.
Patient(S):
A 31-year-old woman, with previous cesarean delivery, presented with vaginal bleeding, was transferred to our hospital at 7 weeks' gestation for heterotopic pregnancy after an IVF-embryo transfer. A diagnosis of intrauterine pregnancy combined with CSP was made by ultrasonography.
Intervention(S):
Hysteroscopic-directed evacuation of CSP.
Main Outcome Measure(S):
Good hemostasis at cesarean site and ongoing intrauterine pregnancy.
Result(S):
A healthy baby was delivered by cesarean delivery at term.
Conclusion(S):
With the increasing number of IVF-embryo transfers, the amount of heterotopic pregnancies is also increasing. Hysteroscopic management of CSP is a minimally invasive procedure that leads to successful obstetric outcomes in the corresponding intrauterine pregnancies.
