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Case Reports in Obstetrics and Gynecology
Volume 2016, Article ID 6832094, 4 pages
Case Report

Uterine Rupture with Cesarean Scar Heterotopic Pregnancy with Survival of the Intrauterine Twin

1Department of Obstetrics and Gynecology Residency Program, Wright State University Boonshoft School of Medicine, Dayton, OH, USA
2Premier OB/GYN, Miami Valley Hospital, Dayton, OH, USA
3Perinatal Partners, Miami Valley Hospital, Dayton, OH, USA

Received 24 October 2016; Revised 14 November 2016; Accepted 4 December 2016

Academic Editor: A. O. Awonuga

Copyright © 2016 Kimberly R. Lincenberg et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Heterotopic pregnancy is a multiple gestation with both intrauterine and ectopic fetuses. A cesarean scar ectopic pregnancy is when the fetus has implanted over the previous hysterotomy site. A known complication of cesarean scar ectopic pregnancy is uterine rupture, which can cause great morbidity and mortality. Case. 28-year-old G5P3105 at 10 weeks with a dichorionic diamniotic gestation was found to have a ruptured uterus with expulsion of a cesarean scar ectopic pregnancy and retention of the intrauterine fetus. After uterine repair, the singleton gestation reached viability was delivered by emergent cesarean section for placental abruption. Conclusion. Safe management of cesarean ectopic pregnancy requires early diagnosis by ultrasonography. With early detection, management can focus on preventing maternal morbidity of uterine rupture and life-threatening hemorrhage.