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Objective <p>This report describes a rare case of a twin pregnancy in which one fetus was located in the cesarean scar and the other in the uterine cavity, resulting in a favorable outcome.</p> Background <p>Cesarean scar pregnancy (CSP) is an uncommon form of ectopic pregnancy that presents significant maternal and fetal risks. In recent years, several cases of heterotopic Caesarean scar pregnancies (HCSP) have been reported. In the majority of cases, the pregnancy did not proceed to full term with a healthy intrauterine fetus.</p> Methods <p>We present the case of a quadrigravida who conceived via in vitro fertilization and embryo transfer (IVF-ET), with one viable fetus in the uterine cavity and another in the cesarean scar.</p> Results <p>The patient’s pregnancy progressed without rupture despite the presence of trophoblastic blood flow in the cesarean scar. A healthy baby was delivered at term via planned cesarean section. Moreover, a complete summary of similar cases in the recent years is provided in Table&#xa0;<InternalRef RefID="Tab1">1</InternalRef>.</p> Conclusion <p>CSP in the context of a twin pregnancy represents a high-risk condition, but with close monitoring, a favorable outcome is possible.</p>

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Cesarean Scar Pregnancy in Twins: A Case Report and a Complex Review of Literature

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月21日

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  • Jozef Záhumenský,
  • Peter Papcun,
  • Martina Sirotná,
  • Marek Dráb,
  • Petra Pšenková

摘要

Objective

This report describes a rare case of a twin pregnancy in which one fetus was located in the cesarean scar and the other in the uterine cavity, resulting in a favorable outcome.

Background

Cesarean scar pregnancy (CSP) is an uncommon form of ectopic pregnancy that presents significant maternal and fetal risks. In recent years, several cases of heterotopic Caesarean scar pregnancies (HCSP) have been reported. In the majority of cases, the pregnancy did not proceed to full term with a healthy intrauterine fetus.

Methods

We present the case of a quadrigravida who conceived via in vitro fertilization and embryo transfer (IVF-ET), with one viable fetus in the uterine cavity and another in the cesarean scar.

Results

The patient’s pregnancy progressed without rupture despite the presence of trophoblastic blood flow in the cesarean scar. A healthy baby was delivered at term via planned cesarean section. Moreover, a complete summary of similar cases in the recent years is provided in Table 1.

Conclusion

CSP in the context of a twin pregnancy represents a high-risk condition, but with close monitoring, a favorable outcome is possible.