title: Cornual heterotopic pregnancy after bilateral salpingectomy and uterine septum resection resulting in term delivery of a healthy infant.
abstract: Heterotopic pregnancy is the simultaneous occurrence of two or more implantation sites. A 25-year-old infertile patient with a history of bilateral salpingectomy, uterine septum resection, and left cornual resection was diagnosed with heterotopic pregnancy in her second in vitro fertilization trial. She attended our clinic when she was 7-week pregnant, complaining initially of severe abdominal pain. Findings associated with peritoneal irritation were positive during the physical examination. Transvaginal ultrasound revealed right cornual ectopic pregnancy with a live fetus in the middle of the uterine cavity. Also free fluid was noted in the pelvis. A diagnosis of heterotopic pregnancy with rupture of the cornual pregnancy was made. She underwent emergency laparoscopy with aspiration of the ruptured ectopic pregnancy, suturing to the entire visible cornual margins, and assurance of good haemostasis. Her recovery was uneventful and she continued receiving care in our obstetric unit. She delivered a healthy newborn by cesarean section at term.
authors.affiliation: Department of Assisted Reproduction, Liv Hospital, 34340 Istanbul, Turkey.
authors.forename: Serkan
authors.initials: S
authors.lastname: Oral
authors.affiliation: Department of Obstetrics and Gynecology, Ankara Mevki Military Hospital, 06100 Ankara, Turkey.
authors.forename: Yaşam Kemal
authors.initials: YK
authors.lastname: Akpak
authors.affiliation: Department of Assisted Reproduction, 29 Mayis Hospital, 34250 Istanbul, Turkey.
authors.forename: Nilay
authors.initials: N
authors.lastname: Karaca
authors.affiliation: Department of Obstetrics and Gynecology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, 34668 Istanbul, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Babacan
authors.affiliation: Department of Assisted Reproduction, Medical Park Bahcelievler Hospital, 34160 Istanbul, Turkey.
authors.forename: Kadir
authors.initials: K
authors.lastname: Savan