Heterotopic pregnancy after bilateral salpingectomy resulting in near-term delivery of a healthy infant.
OBJECTIVE
To describe an unusual case of heterotopic pregnancy.


METHODS
Case report.


METHODS
Division of Reproductive Medicine and Infertility, Women & Infants' Hospital of Rhode Island, Brown Medical School. Providence, Rhode Island.


METHODS
A woman with an unusual heterotopic pregnancy who had had prior bilateral salpingectomies, but delivered a healthy female infant near term after requiring laparotomy for a ruptured left cornual pregnancy 28 days after embryo transfer.


METHODS
IVF, laparotomy with wedge resection of the left tubal cornu, and near-term cesarean section.


METHODS
Excision of ectopic pregnancy with preservation of intrauterine pregnancy.


RESULTS
Delivery of a 2920 gram (6 lb, 7 oz) female infant.


CONCLUSIONS
Heterotopic pregnancy may occur after bilateral salpingectomy, but a satisfactory outcome can be obtained in such circumstances after surgical excision of the ectopic gestation and preservation of the intrauterine pregnancy.
Blazar
Andrew S
AS
Division of Reproductive Medicine and Infertility, Women and Infants' Hospital of Rhode Island, Brown Medical School, Providence, Rhode Island 02905, USA. ablazar@wihri.org
Frishman
Gary N
GN
Winkler
Nurit
N
D000328:Adult; D002585:Cesarean Section; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011271:Pregnancy, Ectopic; D047929:Term Birth