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Cornual heterotopic pregnancy: conservative treatment with transvaginal embryo reduction
1Antalya IVF Center, Ozel Antalya Tup Bebek ve Kadin Sagligi Merkezi, Pil Fabrikasi Karsisi, Halide Edip Cad. No: 7, 07080 Antalya, Turkey.
Objective:
The objective was to discuss a case of heterotopic cornual pregnancy managed with transvaginal embryo reduction.
Methods:
A 22-year-old woman with heterotopic cornual pregnancy was treated with ultrasonographically guided transvaginal injection of potassium chloride into the thorax of ectopic fetus.
Results:
Sixteen days after the procedure, the patient presented with pelvic pain and miscarriage ensued. Control examination 1 month and 3 months later revealed normal uterine cavity and partially resorbed ectopic material.
Conclusion:
This minimally invasive approach in a hemodynamically stable patient can be considered in the management of a first trimester heterotopic cornual pregnancy. However the patient must be informed for the risk of abortion related to the procedure. Nevertheless this approach can be a treatment option in cornual pregnancies without a simultaneous intrauterine gestation.
