{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:08:56Z","timestamp":1753862936089,"version":"3.41.2"},"reference-count":46,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,6,2]],"date-time":"2024-06-02T00:00:00Z","timestamp":1717286400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Swift and precise identification of heterotopic cesarean scar pregnancy, coupled with standardized treatment approaches for handling possible serious complications, form an essential component in reaching favorable outcomes for patients experiencing this rare type of pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Heterotopic pregnancy (HP) denotes a form of multiple gestation where intrauterine and ectopic pregnancies coexist. Cesarean scar ectopic pregnancy, on the other hand, involves the implantation of a fetus over the previous cesarean scar. This condition poses a significant risk of uterine rupture, which may lead to serious health complications, and even death. We report a case of a fit 37\u2010year\u2010old woman with two previous cesarean deliveries who was diagnosed with a heterotopic cesarean scar pregnancy at 8\u2009weeks gestation following symptoms of lower abdominal pain and delayed menstruation. Both pregnancies demonstrated cardiac activity and the portion of the myometrium located between the bladder wall and the gestational sac was noted to exhibit considerable thinness. The patient underwent an exploratory laparotomy coupled with dilation and curettage and recovered uneventfully. The proper management of a HCSP requires timely diagnosis through ultrasonography. Early diagnosis allows for immediate intervention to prevent complications such as uterine rupture or potentially lethal bleeding.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.9025","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T04:07:25Z","timestamp":1717387645000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A rare case report of heterotopic cesarean scar pregnancy in the 8th week of gestation that was managed successfully by exploratory laparotomy with dilation and curettage"],"prefix":"10.1002","volume":"12","author":[{"given":"Mahsa","family":"Karbasi","sequence":"first","affiliation":[{"name":"Department of Radiology, Medical School Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Aletaha","sequence":"additional","affiliation":[{"name":"Student Research Committee Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramin","family":"Ahangar\u2010Sirous","sequence":"additional","affiliation":[{"name":"Student Research Committee Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir Honarmand","family":"Alamdari","sequence":"additional","affiliation":[{"name":"Student Research Committee Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esmaeil","family":"Gharepapagh","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, Medical School Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2746-6594","authenticated-orcid":false,"given":"Sahar","family":"Rezaei","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, Medical School Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,2]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_12_2_1","DOI":"10.1186\/s12884-016-1171-x"},{"doi-asserted-by":"publisher","key":"e_1_2_12_3_1","DOI":"10.1002\/jum.15610"},{"doi-asserted-by":"publisher","key":"e_1_2_12_4_1","DOI":"10.1016\/j.fertnstert.2006.05.085"},{"doi-asserted-by":"publisher","key":"e_1_2_12_5_1","DOI":"10.1097\/01.AOG.0000187947.71490.d1"},{"doi-asserted-by":"publisher","key":"e_1_2_12_6_1","DOI":"10.1016\/S0015-0282(16)54258-7"},{"doi-asserted-by":"publisher","key":"e_1_2_12_7_1","DOI":"10.1186\/s13256-018-1713-0"},{"doi-asserted-by":"publisher","key":"e_1_2_12_8_1","DOI":"10.7863\/ultra.33.9.1533"},{"doi-asserted-by":"publisher","key":"e_1_2_12_9_1","DOI":"10.1111\/jog.12326"},{"doi-asserted-by":"publisher","key":"e_1_2_12_10_1","DOI":"10.1093\/humrep\/deg010"},{"doi-asserted-by":"publisher","key":"e_1_2_12_11_1","DOI":"10.1016\/j.ajog.2012.03.007"},{"doi-asserted-by":"publisher","key":"e_1_2_12_12_1","DOI":"10.1016\/j.fertnstert.2012.09.018"},{"doi-asserted-by":"publisher","key":"e_1_2_12_13_1","DOI":"10.1093\/humupd\/dmh042"},{"doi-asserted-by":"publisher","key":"e_1_2_12_14_1","DOI":"10.1016\/j.jmig.2017.05.019"},{"doi-asserted-by":"publisher","key":"e_1_2_12_15_1","DOI":"10.1016\/j.cca.2018.08.012"},{"doi-asserted-by":"publisher","key":"e_1_2_12_16_1","DOI":"10.1016\/j.ogc.2019.07.010"},{"doi-asserted-by":"publisher","key":"e_1_2_12_17_1","DOI":"10.1016\/j.bpobgyn.2023.102360"},{"doi-asserted-by":"publisher","key":"e_1_2_12_18_1","DOI":"10.1002\/uog.981"},{"doi-asserted-by":"publisher","key":"e_1_2_12_19_1","DOI":"10.12998\/wjcc.v9.i22.6428"},{"doi-asserted-by":"publisher","key":"e_1_2_12_20_1","DOI":"10.1016\/j.jmig.2012.05.006"},{"doi-asserted-by":"publisher","key":"e_1_2_12_21_1","DOI":"10.1186\/s12958-016-0201-x"},{"doi-asserted-by":"publisher","key":"e_1_2_12_22_1","DOI":"10.1155\/2016\/6832094"},{"doi-asserted-by":"publisher","key":"e_1_2_12_23_1","DOI":"10.1016\/j.ajog.2016.02.028"},{"doi-asserted-by":"publisher","key":"e_1_2_12_24_1","DOI":"10.1016\/S0020-7292(02)00018-8"},{"doi-asserted-by":"publisher","key":"e_1_2_12_25_1","DOI":"10.1016\/S0015-0282(97)81930-9"},{"issue":"9","key":"e_1_2_12_26_1","first-page":"754","article-title":"Methotrexate for cesarean scar pregnancy after in\u00a0vitro fertilization and embryo transfer. 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