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Heterotopic abdominal pregnancy treated at laparoscopy
M D Pisarska1, P R Casson, K J Moise
1Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas 77030, USA.
Objective:
To report a case of laparoscopic treatment of a heterotopic primary abdominal pregnancy after IVF with preservation of the concurrent intrauterine pregnancy.
Design:
Case report.
Setting:
University-based IVF program.
Patient(S):
A woman with a heterotopic abdominal pregnancy after IVF-ET.
Intervention(S):
Pituitary down-regulation with luteal leuprolide acetate, ovulation induction with menotropins, IVF-ET, progesterone in oil for luteal support, laparoscopy, and resection of the abdominal gestation.
Main Outcome Measure(S):
Human chorionic gonadotropin levels, pelvic ultrasound examinations, and laparoscopic and pathologic findings.
Result(S):
A heterotopic abdominal pregnancy occurred after IVF-ET and was treated successfully with laparoscopy. The concurrent intrauterine pregnancy was delivered at term.
Conclusion(S):
Early diagnosis of an ectopic abdominal pregnancy allowed successful laparoscopic treatment, without sequelae to the intrauterine gestation.