Heterotopic abdominal pregnancy treated at laparoscopy.
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.
Pisarska
M D
MD
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas 77030, USA.
Casson
P R
PR
Moise
K J
KJ
DiMaio
D J
DJ
Buster
J E
JE
Carson
S A
SA
D000328:Adult; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D010535:Laparoscopy; D009865:Oocytes / Q000502:physiology; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000601:surgery*