title: Heterotopic abdominal pregnancy treated at laparoscopy.
abstract: OBJECTIVE
  To report a case of laparoscopic treatment of a heterotopic primary abdominal pregnancy after IVF with preservation of the concurrent intrauterine pregnancy.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University-based IVF program.
  
  
  METHODS
  A woman with a heterotopic abdominal pregnancy after IVF-ET.
  
  
  METHODS
  Pituitary down-regulation with luteal leuprolide acetate, ovulation induction with menotropins, IVF-ET, progesterone in oil for luteal support, laparoscopy, and resection of the abdominal gestation.
  
  
  METHODS
  Human chorionic gonadotropin levels, pelvic ultrasound examinations, and laparoscopic and pathologic findings.
  
  
  RESULTS
  A heterotopic abdominal pregnancy occurred after IVF-ET and was treated successfully with laparoscopy. The concurrent intrauterine pregnancy was delivered at term.
  
  
  CONCLUSIONS
  Early diagnosis of an ectopic abdominal pregnancy allowed successful laparoscopic treatment, without sequelae to the intrauterine gestation.
authors.affiliation: Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas 77030, USA.
authors.forename: M D
authors.initials: MD
authors.lastname: Pisarska
authors.forename: P R
authors.initials: PR
authors.lastname: Casson
authors.forename: K J
authors.initials: KJ
authors.lastname: Moise
authors.forename: D J
authors.initials: DJ
authors.lastname: DiMaio
authors.forename: J E
authors.initials: JE
authors.lastname: Buster
authors.forename: S A
authors.initials: SA
authors.lastname: Carson
mesh_terms: D000328:Adult; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D010535:Laparoscopy; D009865:Oocytes / Q000502:physiology; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000601:surgery*