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

Sayaka Matsueda, Nobuhiro Hidaka, Yukiko Kondo, Kiyoko Kato

研究成果: ジャーナルへの寄稿記事

抄録

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.

元の言語英語
ページ(範囲)319-322
ページ数4
ジャーナルJournal of Reproductive Medicine
63
発行部数3
出版物ステータス出版済み - 1 1 2018

Fingerprint

Live Birth
Cicatrix
Pregnancy
Hemorrhage
Placenta Accreta
Tocolysis
Uterine Rupture
Placenta Previa
Uterine Contraction
Premature Obstetric Labor
Ectopic Pregnancy
Hysterectomy
Blood Transfusion
Fear
Emergencies

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynaecology

これを引用

Dichorionic diamniotic cesarean scar pregnancy resulting in live twin birth : A case report. / Matsueda, Sayaka; Hidaka, Nobuhiro; Kondo, Yukiko; Kato, Kiyoko.

:: Journal of Reproductive Medicine, 巻 63, 番号 3, 01.01.2018, p. 319-322.

研究成果: ジャーナルへの寄稿記事

@article{ef49c93fae674a689dd93b0e10b498bf,
title = "Dichorionic diamniotic cesarean scar pregnancy resulting in live twin birth: A case report",
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.",
author = "Sayaka Matsueda and Nobuhiro Hidaka and Yukiko Kondo and Kiyoko Kato",
year = "2018",
month = "1",
day = "1",
language = "English",
volume = "63",
pages = "319--322",
journal = "The Journal of reproductive medicine",
issn = "0024-7758",
publisher = "Donna Kessel",
number = "3",

}

TY - JOUR

T1 - Dichorionic diamniotic cesarean scar pregnancy resulting in live twin birth

T2 - A case report

AU - Matsueda, Sayaka

AU - Hidaka, Nobuhiro

AU - Kondo, Yukiko

AU - Kato, Kiyoko

PY - 2018/1/1

Y1 - 2018/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85048042981&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048042981&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:85048042981

VL - 63

SP - 319

EP - 322

JO - The Journal of reproductive medicine

JF - The Journal of reproductive medicine

SN - 0024-7758

IS - 3

ER -