title: Successful management of heterotopic pregnancy after fetal reduction using potassium chloride and methotrexate.
abstract: Heterotopic pregnancy, the presence of two gestational sacs simultaneously, is a rare event but with the advent of Assisted Reproductive Technology, it is now an increasingly common complication. The reported incidence of a heterotopic pregnancy in a spontaneous cycle is quoted as 1 in 30,000. We report the case of a 38-year-old primigravida who was referred to our center at 11 + 2 weeks gestation with a diagnosis of heterotopic pregnancy for further management. A non-surgical intervention comprising of transvaginal ultrasound-guided potassium chloride and methotrexate into the cervical pregnancy resulted in a successful outcome. As an obstetrician, a high index of clinical suspicion and an early scan is mandatory to make a diagnosis of a heterotopic pregnancy and manage accordingly.
authors.affiliation: Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
authors.forename: Deepika
authors.initials: D
authors.lastname: Deka
authors.forename: Anupama
authors.initials: A
authors.lastname: Bahadur
authors.forename: Aprajita
authors.initials: A
authors.lastname: Singh
authors.forename: Neena
authors.initials: N
authors.lastname: Malhotra