Dichorionic diamniotic heterotopic twin gestation with cesarean section scar implantation and placenta increta

Felicia Wang, BA; Arthur Vaught, MD; Mara Rosner, MD, MPH; Ahmet Baschat, MD; Kristin Darwin, MD; Torre Halscott, MD, MS; Michelle Kush, MD; Jena Miller, MD; Erin Gomez, MD

Radiology Case Reports (Nov 2023)

Dichorionic diamniotic heterotopic twin gestation with cesarean section scar implantation and placenta increta

Felicia Wang, BA,
Arthur Vaught, MD,
Mara Rosner, MD, MPH,
Ahmet Baschat, MD,
Kristin Darwin, MD,
Torre Halscott, MD, MS,
Michelle Kush, MD,
Jena Miller, MD,
Erin Gomez, MD

Affiliations

Felicia Wang, BA: Johns Hopkins University School of Medicine, 733 North Brdwy, Baltimore, MD 21205, USA; Corresponding author.
Arthur Vaught, MD: Division of Maternal Fetal Medicine, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
Mara Rosner, MD, MPH: Center for Fetal Therapy, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
Ahmet Baschat, MD: Center for Fetal Therapy, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
Kristin Darwin, MD: Division of Maternal Fetal Medicine, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
Torre Halscott, MD, MS: Division of Maternal Fetal Medicine, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
Michelle Kush, MD: Center for Fetal Therapy, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
Jena Miller, MD: Center for Fetal Therapy, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
Erin Gomez, MD: The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA

Journal volume & issue: Vol. 18, no. 11
pp. 4006 – 4011

Abstract

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Heterotopic cesarean scar pregnancy is an extremely rare form of pregnancy and is defined as an intrauterine pregnancy coexisting with an ectopic pregnancy implanted in the cesarean scar. Cesarean scar ectopic pregnancy can also be a precursor for placenta accreta spectrum, a potentially life-threatening condition in which the placenta is abnormally adherent to the uterine myometrium and possibly adjacent organs. Although cesarean scar ectopic pregnancies are rare, there has been an increase in their incidence due to the rise in cesarean deliveries. We present the case of a 35-year-old patient with a heterotopic pregnancy with ectopic implantation in a cesarean scar and associated placenta increta, as well as the radiologic evaluation of placenta accreta spectrum and subsequent management.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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