Successful Pregnancy by In Vitro Fertilization after Bilateral Uterine Arterial Embolization for Cesarean Scar Pregnancy: A Case Report

A 35-year-old woman who had one delivery by cesarean section got pregnant again. Color Doppler flow imaging and Magnetic resonance imaging (MRI) showed a cesarean scar pregnancy (CSP). Uterine arterial embolization (UAE) and curettage was performed successfully to terminate the pregnancy. Six months after the curettage, the patient's menstrual flow was reduced to one non-drenched sanitary pad per day for only 1–2 d, every 30 d. The patient underwent hysterosalpingography (HSG), which suggested the presence of a filling-defect of the left uterine cavity, with obstructed bilateral Fallopian tubes. The patient subsequently underwent lysis of adhesions by hysteroscopy plus an exploratory laparoscopy, under general anesthesia. Her menstruation gradually increased to 5–7 d every 30 d. As the patient did not become pregnant during the first year after surgery, she underwent in vitro fertilization (IVF) treatment and a repeat ultrasound showed a somewhat thin endometrial line. At last, the patient got pregnant and gave birth to a live baby by IVF.