Live birth after treatment of a heterotopic cornual pregnancy with fetal intrathoracic KCI: A case report

Ghina S. Ghazeeri, Owen Phillips, Donald S. Emerson, William H. Kutteh, Raymond W. Ke

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

BACKGROUND: Heterotopic pregnancy, in which an ectopic gestation coexists with an intrauterine one, occurs more frequently following in vitro fertilization than with spontaneous conception. However, it is rare to find an ectopic gestation in the interstitial (or cornual) portion of the fallopian tube. This scenario poses challenges in diagnosis as well as difficulties in managing the cornual pregnancy while maintaining the viability of the intrauterine gestation. CASE: A 29-year-old nulligravida with stage IV endometriosis completed in vitro fertilization for primary infertility. A heterotopic pregnancy involving the right interstitial portion of the fallopian tube as well as a viable singleton intrauterine pregnancy was diagnosed using serial ultrasound. Successful termination of the cornual pregnancy was accomplished by transabdominal fetal intrathoracic injection of KCl under ultrasound guidance. CONCLUSION: Pregnancy reduction of a heterotopic cornual gestation using KCl is a treatment alternative for this uncommon but potentially devastating complication of in vitro fertilization.

Original languageEnglish (US)
Pages (from-to)1038-1040
Number of pages3
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume47
Issue number12
StatePublished - Dec 1 2002

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Heterotopic Pregnancy
Live Birth
Pregnancy
Fertilization in Vitro
Fallopian Tubes
Therapeutics
N,N-dimethyl-3,3-diphenyl-1-methylallylamine
Endometriosis
Infertility
Cornual Pregnancy
Injections

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Live birth after treatment of a heterotopic cornual pregnancy with fetal intrathoracic KCI : A case report. / Ghazeeri, Ghina S.; Phillips, Owen; Emerson, Donald S.; Kutteh, William H.; Ke, Raymond W.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 47, No. 12, 01.12.2002, p. 1038-1040.

Research output: Contribution to journalArticle

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