Heterotopic abdominal pregnancy treated at laparoscopy

Margareta D. Pisarska, Peter R. Casson, Kenneth J. Moise, Dominick J. DiMaio, John E. Buster, Sandra A. Carson

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)159-160
Number of pages2
JournalFertility and Sterility
Volume70
Issue number1
DOIs
StatePublished - Jul 1998
Externally publishedYes

Keywords

  • Abdominal pregnancy
  • Heterotopic pregnancy
  • Laparoscopy

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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