Laparoscopic Management of Heterotopic Interstitial Pregnancy with Subsequent Term Delivery

A 35 year-old woman at 7-week gestational age was referred to our hospital. The patient was diagnosed with the heterotopic interstitial pregnancy by transvaginal ultrasonogra- phy after receiving in vitro fertilization (IVF) and embryo transfer. Laparoscopic excision and curettage was successfully performed at 8.4-gestational age under general anesthesia and the patient was discharged 2 days after operation without any post-operative complications. The woman had normal antenatal follow-up and deliv- ered a healthy baby at term by cesarean section.

[1]  G. Cario,et al.  Purse-string suture technique to enable laparoscopic management of the interstitial gestation of a heterotopic pregnancy. , 2011, Fertility and sterility.

[2]  I. Messinis,et al.  Ruptured heterotopic interstitial pregnancy: rare case of acute abdomen in a Jehovah's Witness patient. , 2008, Fertility and sterility.

[3]  I. Ben‐Ami,et al.  Recurrent heterotopic pregnancy after bilateral salpingectomy in an IVF patient: Case report , 2006, Journal of Assisted Reproduction and Genetics.

[4]  R. Pasic,et al.  Laparoscopic treatment of cornual heterotopic pregnancy. , 2002, The Journal of the American Association of Gynecologic Laparoscopists.

[5]  J. Goldfarb,et al.  Cornual heterotopic pregnancy and cornual resection after in vitro fertilization/embryo transfer. A report of two cases. , 1995, The Journal of reproductive medicine.

[6]  G. Vilos Laparoscopic resection of a heterotopic cornual pregnancy followed by term vaginal delivery. , 1995, The Journal of the American Association of Gynecologic Laparoscopists.

[7]  D. Sherer,et al.  Heterotopic quadruplet gestation with laparoscopic resection of ruptured interstitial pregnancy and subsequent successful outcome of triplets. , 1995, American journal of obstetrics and gynecology.

[8]  D. Seidman,et al.  The incidence of combined intrauterine and extrauterine pregnancy after in vitro fertilization and embryo transfer. , 1991, Fertility and sterility.

[9]  W. Würfel,et al.  [Triple extra-uterine pregnancy following in vitro fertilization and embryo transfer]. , 1989, Geburtshilfe und Frauenheilkunde.

[10]  E. Reece,et al.  Combined intrauterine and extrauterine gestations: a review. , 1983, American journal of obstetrics and gynecology.