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01.12.2018 | Case report | Ausgabe 1/2018 Open Access

Journal of Medical Case Reports 1/2018

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

Journal of Medical Case Reports > Ausgabe 1/2018
Olga Vikhareva, Ekaterina Nedopekina, Andreas Herbst



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.


Expectant management under close monitoring can be appropriate in small non-viable heterotopic caesarean scar pregnancies.

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