Transvaginal ultrasound-guided aspiration and instillation of hyperosmolar glucose for treatment of unruptured tubal heterotopic pregnancy.
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.
Ocal
Pelin
P
Department of Obstetrics and Gynaecology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Erkan
Sanli
S
Cepni
Ismail
I
Idil
Mehmet H
MH
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*
D005947:Glucose