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A magnetic resonance imaging approach for the diagnosis of a triplet cornual pregnancy
S Bassil1, S Gordts, M Nisolle
1Department of Gynecology, Cliniques Universitaires St-Luc, Brussels, Belgium.
Objectives:
To describe a rare case of triplet cornual pregnancy after IVF-ET and to assess the role of magnetic resonance imaging (MRI) for early diagnosis.
Design:
Case report.
Setting:
Infertility and IVF Unit, in an university medical center.
Patient:
A 31-year-old healthy patient with a 3-year history of primary male infertility.
Intervention:
Standard IVF-ET treatment cycle, using a GnRH-agonist (long protocol) and hMG for ovarian stimulation.
Results:
A cornual triplet pregnancy is described with the approach for the diagnosis. Magnetic resonance imaging was complementary to endovaginal sonography for early diagnosis and permitted a timed conservative management.
Conclusions:
When transvaginal ultrasound findings did not provide an accurate location of the pregnancy, MRI was indicated to confirm the diagnosis.