title: Transvaginal ultrasound-guided aspiration and instillation of hyperosmolar glucose for treatment of unruptured tubal heterotopic pregnancy.
abstract: OBJECTIVE
  To report a case of tubal heterotopic pregnancy (HP) treated conservatively with transvaginal ultrasound-guided aspiration and instillation of hyperosmolar glucose.
  
  
  METHODS
  Aspiration of the tubal ectopic pregnancy and hyperosmolar glucose instillation was performed with a 16-gauge needle under transvaginal ultrasound guidance.
  
  
  RESULTS
  Unruptured tubal HP with positive cardiac activity was treated successfully without any further interventions, and intrauterine pregnancy has reached full-term without any complications.
  
  
  CONCLUSIONS
  Early diagnosis of this life-threatening condition is the key to its successful treatment. Transvaginal ultrasound-guided aspiration and hyperosmolar glucose injection can be safely performed for the treatment of unruptured tubal HP.
authors.affiliation: Department of Obstetrics and Gynaecology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Pelin
authors.initials: P
authors.lastname: Ocal
authors.forename: Sanli
authors.initials: S
authors.lastname: Erkan
authors.forename: Ismail
authors.initials: I
authors.lastname: Cepni
authors.forename: Mehmet H
authors.initials: MH
authors.lastname: Idil
mesh_terms: D000282:Administration, Intravaginal; D000328:Adult; D005260:Female; D005947:Glucose / Q000008:administration & dosage*; D006801:Humans; D050498:Live Birth; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging / Q000628:therapy*; D027724:Reproductive Techniques, Assisted; D013396:Suction / Q000379:methods; D014463:Ultrasonography; D014621:Vagina / Q000000981:diagnostic imaging*
chemical_list: D005947:Glucose