Normal vaginal delivery at term after expectant management of heterotopic caesarean scar pregnancy: a case report

摘要

Abstract Background Heterotopic pregnancy with a combination of a caesarean scar pregnancy and an intrauterine pregnancy is rare and has potentially life-threatening complications. Case presentation We describe the case of a 27-year-old white woman who had experienced an emergency caesarean delivery at 39 weeks for fetal distress with no postpartum complications. This is a report of the successful expectant management of a heterotopic scar pregnancy. The gestational sac implanted into the scar area was non-viable. The woman was treated expectantly and had a normal vaginal delivery at 37 weeks of gestation. Conclusion Expectant management under close monitoring can be appropriate in small non-viable heterotopic caesarean scar pregnancies.