title: Hyperosmolar glucose injection for the treatment of heterotopic ovarian pregnancy.
abstract: BACKGROUND
  Heterotopic pregnancy describes the relatively rare coexistence of one or more intrauterine gestations and one or more extrauterine (ectopic) gestations. We describe a unique clinical case involving successful treatment of an ovarian heterotopic pregnancy through gestational sac aspiration and injection of hyperosmolar glucose.
  
  
  METHODS
  A 31-year-old woman presented with an ovarian ectopic pregnancy and a viable intrauterine pregnancy after ovulation induction with oral medications. The ovarian gestational sac was aspirated and then injected transvaginally with a small volume of 50% glucose in water. The ectopic pregnancy resolved, and the intrauterine pregnancy was delivered at term without complication.
  
  
  CONCLUSIONS
  Gestational sac aspiration and injection of hyperosmolar glucose into an ovarian ectopic pregnancy was simple and efficacious without compromising a coexisting intrauterine pregnancy.
authors: From the Division of Reproductive Endocrinology and the Department of Obstetrics, Gynecology and Women's Health, University of Missouri School of Medicine, Columbia, Missouri.
authors: Jana L
authors: JL
authors: Allison
authors: Mira
authors: M
authors: Aubuchon
authors: Jacqueline D
authors: JD
authors: Leasure
authors: Danny J
authors: DJ
authors: Schust
mesh_terms: D000328:Adult; D005260:Female; D058746:Gestational Sac / Q000187:drug effects* / Q000601:surgery; D005947:Glucose / Q000008:administration & dosage*; D006801:Humans; D007267:Injections; D010062:Ovulation Induction; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000188:drug therapy*; D011272:Pregnancy, Multiple; D013396:Suction; D014463:Ultrasonography
chemical_list: D005947:Glucose