Andrew S Blazar1, Gary N Frishman, Nurit Winkler. 1. Division of Reproductive Medicine and Infertility, Women and Infants' Hospital of Rhode Island, Brown Medical School, Providence, Rhode Island 02905, USA. ablazar@wihri.org
Abstract
OBJECTIVE: To describe an unusual case of heterotopic pregnancy. DESIGN: Case report. SETTING: Division of Reproductive Medicine and Infertility, Women & Infants' Hospital of Rhode Island, Brown Medical School. Providence, Rhode Island. PATIENT(S): A woman with an unusual heterotopic pregnancy who had had prior bilateral salpingectomies, but delivered a healthy female infant near term after requiring laparotomy for a ruptured left cornual pregnancy 28 days after embryo transfer. INTERVENTION(S): IVF, laparotomy with wedge resection of the left tubal cornu, and near-term cesarean section. MAIN OUTCOME MEASURE(S): Excision of ectopic pregnancy with preservation of intrauterine pregnancy. RESULT(S): Delivery of a 2920 gram (6 lb, 7 oz) female infant. CONCLUSION(S): Heterotopic pregnancy may occur after bilateral salpingectomy, but a satisfactory outcome can be obtained in such circumstances after surgical excision of the ectopic gestation and preservation of the intrauterine pregnancy.
OBJECTIVE: To describe an unusual case of heterotopic pregnancy. DESIGN: Case report. SETTING: Division of Reproductive Medicine and Infertility, Women & Infants' Hospital of Rhode Island, Brown Medical School. Providence, Rhode Island. PATIENT(S): A woman with an unusual heterotopic pregnancy who had had prior bilateral salpingectomies, but delivered a healthy female infant near term after requiring laparotomy for a ruptured left cornual pregnancy 28 days after embryo transfer. INTERVENTION(S): IVF, laparotomy with wedge resection of the left tubal cornu, and near-term cesarean section. MAIN OUTCOME MEASURE(S): Excision of ectopic pregnancy with preservation of intrauterine pregnancy. RESULT(S): Delivery of a 2920 gram (6 lb, 7 oz) female infant. CONCLUSION(S): Heterotopic pregnancy may occur after bilateral salpingectomy, but a satisfactory outcome can be obtained in such circumstances after surgical excision of the ectopic gestation and preservation of the intrauterine pregnancy.