title: Successful expectant management for a cornual heterotopic pregnancy.
abstract: OBJECTIVE
  To report the obstetric outcome after expectant management for a right cornual heterotopic pregnancy.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 33-year-old salpingectomized woman with an 8-year history of primary infertility who conceived after in utero transfer of two embryos obtained by in vitro fertilization.
  
  
  METHODS
  Expectant management and close ultrasonographic and clinical monitoring.
  
  
  METHODS
  Obstetric outcome.
  
  
  RESULTS
  The intrauterine pregnancy proceeded unremarkably. A caesarean section was performed for dystocia and allowed the delivery of a healthy 4170 g male infant. The examination of the uterus showed a prerupture of the right uterine horn.
  
  
  CONCLUSIONS
  Expectant management for cornual heterotopic pregnancy could be considered a successful option in a symptom-free patient where the ectopic embryo has a limited craniocaudal length with no cardiac activity. Our case also suggests that elective cesarean section could be the optimal mode of delivery for rare cases of successful management for cornual heterotopic pregnancy, regardless of the therapeutic option chosen for the cornual pregnancy, due to the theoretical increase risk of uterine rupture during labor.
authors.affiliation: Department of Obstetrics and Gynecology, Angers University Hospital, Angers, France. loicsentilhes@hotmail.com
authors.forename: Loïc
authors.initials: L
authors.lastname: Sentilhes
authors.forename: Pierre-Emmanuel
authors.initials: PE
authors.lastname: Bouet
authors.forename: Alexis
authors.initials: A
authors.lastname: Gromez
authors.forename: Mathieu
authors.initials: M
authors.lastname: Poilblanc
authors.forename: Céline
authors.initials: C
authors.lastname: Lefebvre-Lacoeuille
authors.forename: Philippe
authors.initials: P
authors.lastname: Descamps
mesh_terms: D000328:Adult; D002585:Cesarean Section; D004420:Dystocia / Q000209:etiology / Q000601:surgery; D017558:Elective Surgical Procedures; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007231:Infant, Newborn; D050498:Live Birth; D008297:Male; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000601:surgery*; D016216:Ultrasonography, Prenatal; D014597:Uterine Rupture / Q000209:etiology / Q000601:surgery