title: Spontaneous uterine cornual rupture at 26 weeks' gestation in an interstitial heterotopic pregnancy following in vitro fertilization.
abstract: Interstitial implantation in a heterotopic pregnancy is extremely rare, and despite currently available diagnostic modalities, early identification of an interstitial ectopic pregnancy remains difficult. This report describes a case of spontaneous cornual rupture at 26 weeks' gestation in a woman with diamniotic dichorionic twins that resulted in live births. The patient had previously undergone laparoscopic bilateral salpingectomy, and the pregnancy was conceived with in vitro fertilization. Interstitial implantation in a heterotopic pregnancy can go unrecognized, resulting in increased maternal and infant morbidity and mortality. © 2015 Wiley Periodicals, Inc. J Clin Ultrasound 44:322-325, 2016.
authors.affiliation: Department of Obstetrics and Gynecology, Orlando Health, Orlando, FL.
authors.forename: Courtney
authors.initials: C
authors.lastname: Paradise
authors.affiliation: Department of Obstetrics and Gynecology, Orlando Health, Orlando, FL.
authors.forename: S J
authors.initials: SJ
authors.lastname: Carlan
authors.affiliation: Department of Obstetrics and Gynecology, Orlando Health, Orlando, FL.
authors.forename: Conisha
authors.initials: C
authors.lastname: Holloman
keywords: heterotopic pregnancy; in vitro fertilization; interstitial pregnancy; obstetrics; salpingectomy; twin; ultrasonography; uterine rupture