Korean J Obstet Gynecol.  2012 Aug;55(8):610-613. 10.5468/KJOG.2012.55.8.610.

A live birth after laparoscopic cornual resection for cornual heterotopic pregnancy after IVF-ET

• Lee SJ
• Eom JM
• Koh AR
• Park SY
• Lee JH
• Choi JS
• Hur CY

• KMID: 2078115
• DOI: http://doi.org/10.5468/KJOG.2012.55.8.610

Abstract

A 28-year-old Korean woman with a history of both salpingectomies due to two prior tubal pregnancies at other institutions conceived a heterotopic cornual pregnancy after in vitro fertilization-embryo transfer. The patient was referred to the emergency department with an abrupt onset of lower abdominal pain at the 7th gestational week. We performed an emergent laparoscopic right cornual resection. The subsequent antenatal course was unremarkable. There were no obstetric or surgery-related complications. The patient delivered a healthy baby of 3,340 g via Cesarean section due to failure to progress at term.

Keyword

Laparoscopy; Heterotopic pregnancy; Cornual pregnancy

MeSH Terms

Abdominal Pain
Adult
Cesarean Section
Emergencies
Female
Humans
Laparoscopy
Live Birth
Pregnancy
Pregnancy, Heterotopic
Pregnancy, Tubal
Salpingectomy

Figure

• 

  Fig. 1 Preoperative ultrasonogram. (A) Free fluid in the cul-de-sac. (B) The intrauterine gestational sac is noted (large arrow). And the cornual gestational sac is noted (small arrow).

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  Fig. 2 Actual laparoscopic pictures of a laparoscopic cornual resection in a cornual heterotopic pregnancy. (A) The right cornual mass is noted (white arrow). (B) Several interrupted sutures can be seen.

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