Cornual heterotopic pregnancy: conservative treatment with transvaginal embryo reduction.
OBJECTIVE
The objective was to discuss a case of heterotopic cornual pregnancy managed with transvaginal embryo reduction.


METHODS
A 22-year-old woman with heterotopic cornual pregnancy was treated with ultrasonographically guided transvaginal injection of potassium chloride into the thorax of ectopic fetus.


RESULTS
Sixteen days after the procedure, the patient presented with pelvic pain and miscarriage ensued. Control examination 1 month and 3 months later revealed normal uterine cavity and partially resorbed ectopic material.


CONCLUSIONS
This minimally invasive approach in a hemodynamically stable patient can be considered in the management of a first trimester heterotopic cornual pregnancy. However the patient must be informed for the risk of abortion related to the procedure. Nevertheless this approach can be a treatment option in cornual pregnancies without a simultaneous intrauterine gestation.
Ozgur
Kemal
K
Antalya IVF Center, Ozel Antalya Tup Bebek ve Kadin Sagligi Merkezi, Pil Fabrikasi Karsisi, Halide Edip Cad. No: 7, 07080 Antalya, Turkey.
Isikoglu
Mete
M
D000328:Adult; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects; D005865:Gestational Age; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011256:Pregnancy Outcome; D018607:Pregnancy Reduction, Multifetal / Q000379:methods*; D011271:Pregnancy, Ectopic / Q000628:therapy*