Dichorionic diamniotic cesarean scar pregnancy resulting in live twin birth: A case report

Sayaka Matsueda, Nobuhiro Hidaka, Yukiko Kondo, Kiyoko Kato

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Cesarean scar pregnancy (CSP) is a rare type of ectopic pregnancy. Early termination is commonly performed for fear of massive bleeding and uterine rupture. Only a few cases of CSP continuation resulting in viable delivery have been reported, and almost all of these were singleton pregnancies. CASE: We present a rare case of CSP and successful dichorionic, diamniotic (DD) twin delivery. A 32-year-old woman who had undergone 2 previous cesarean deliveries was diagnosed with DD twins and CSP. She experienced genital bleeding and threatened preterm labor; we managed the complications with blood transfusion and aggressive tocolytic therapy. At 29 weeks and 3 days’ gestation the patient experienced active bleeding and regular uterine contractions, and we performed an emergency cesarean delivery. The patient required a hysterectomy for uncontrolled intraoperative bleeding. The twins weighed 1,480 g and 656 g and followed a favorable postnatal course without any severe complications. Both twins survived to hospital discharge. CONCLUSION: Our experience suggests that live birth is achievable even in twin CSP. Because CSP is frequently associated with placenta previa and placenta accreta, such patients must be managed carefully.

Original languageEnglish
Pages (from-to)319-322
Number of pages4
JournalJournal of Reproductive Medicine
Volume63
Issue number3
Publication statusPublished - 2018

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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