title: Selective embryo reduction in a heterotopic pregnancy using potassium chloride injection resulting in a hematosalpinx.
abstract: OBJECTIVE
  To incorporate conservative management of a heterotopic pregnancy using injection of KCl into the ectopic pregnancy (EP).
  
  
  METHODS
  A retrospective case report.
  
  
  METHODS
  A patient referred to an academic institution in the division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, incorporating the ultrasound (US) and operating room facilities.
  
  
  METHODS
  Using US as a guide, KCl was injected into the chorionic cavity of an EP.
  
  
  METHODS
  Resolution of ectopic gestational tissue with resultant hematosalpinx requiring exploratory laparotomy. Uncomplicated prenatal course of intrauterine pregnancy.
  
  
  RESULTS
  Injection of KCl into the chorionic cavity of EP resulting in resolution of gestational tissue but complicated by hematosalpinx in the fallopian tube.
  
  
  CONCLUSIONS
  Selective embryo reduction of a tubal heterotopic pregnancy remains a viable therapeutic option.
authors.affiliation: Department of Obstetrics and Gynecology, Hutzel Hospital, Wayne State University, Detroit, Michigan 48201, USA.
authors.forename: A
authors.initials: A
authors.lastname: Wright
authors.forename: C L
authors.initials: CL
authors.lastname: Kowalczyk
authors.forename: R
authors.initials: R
authors.lastname: Quintero
authors.forename: R E
authors.initials: RE
authors.lastname: Leach
mesh_terms: D005184:Fallopian Tube Diseases / Q000139:chemically induced*; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced*; D006801:Humans; D007267:Injections; D011189:Potassium Chloride / Q000009:adverse effects* / Q000627:therapeutic use; D011247:Pregnancy; D018607:Pregnancy Reduction, Multifetal; D011271:Pregnancy, Ectopic / Q000628:therapy*
chemical_list: D011189:Potassium Chloride