Abdominal resection of a cornual heterotopic pregnancy using intraoperative ultrasound: case report

Abigail Mancuso, University of Iowa Hospitals and Clinics, Department of Obstetrics and Gynecology, Iowa City, Iowa
Adrianne Racek, University of Iowa Hospitals and Clinics, Department of Obstetrics and Gynecology, Iowa City, Iowa
E. Hakan Duran, University of Iowa Hospitals and Clinics, Department of Obstetrics and Gynecology, Iowa City, Iowa

The authors report no conflict of interest.

Abstract

Background: Heterotopic pregnancy is a rare complication of in vitro fertilization (IVF) and diagnosis and treatment can be challenging, particularly with unusual ectopic sites and desire to maintain the intrauterine pregnancy.

Case: We review the case of a 29-year-old female who presented with a cornual heterotopic pregnancy following IVF treated with exploratory laparotomy and ultrasound guided resection of the cornual pregnancy, resulting in an ongoing viable singleton intrauterine pregnancy.

Conclusion: The management of cornual heterotopic pregnancies is limited by lack of data regarding ideal treatment although several surgical and non-surgical strategies have been described. This case uses abdominal resection of cornual ectopic pregnancy using intraoperative ultrasound as an optimal approach to remove the ectopic pregnancy without disrupting the viable intrauterine pregnancy, which was in close proximity of the cornual ectopic.

 

URL

https://ir.uiowa.edu/pog_in_press/46