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Kim, Moon, Park, Ahn, Jung, Chang, and Park: A case of full term delivery after selective fetocide with potassium chloride in heterotopic cornual pregnancy
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(7): 377-380.

Published online: 18 July 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.7.377

A case of full term delivery after selective fetocide with potassium chloride in heterotopic cornual pregnancy

Eun A Kim, MD, Myoung Jin Moon, MD, Hea Ree Park, MD, Eun Hee Ahn, MD, Sang Hee Jung, MD, Sung-Woon Chang, MD, Young Sin Park, MD

Department of Obstetrics and Gynecology, Bundang Cha Women's Hospital, CHA University College of Medicine, Seongnam, Korea.

Corresponding author: Myoung Jin Moon, MD. Department of Obstetrics and Gynecology, Bundang Cha Women's Hospital, CHA University College of Medicine, 351 Yatap-dong, Bundang-gu, Seongnam 463-712, Korea. Tel: +82-31-780-5298, Fax: +82-31-780-1976, mmj33@hanmail.net

Received 24 March 2011       Revised 5 May 2011       Accepted 8 June 2011

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Heterotopic pregnancy is the simultaneous occurrence of intrauterine and ectopic gestations. Possible risk factors include past pelvic inflammatory disease, previous pelvic surgery, or uterine anomalies. Its incidence is very rare, 1 in 30,000 in natural pregnancies but it has been increased in frequency by the advent of assisted reproductive technology. In cases of heterotopic pregnancy with intrauterine pregnancy and ectopic pregnancy, the diagnosis can be even more difficult. And the management of heterotopic pregnancy still remains controversial. We have experienced a case of heterotopic pregnancy with cornual pregnancy after in vitro fertilization and embryo transfer. which was successfully treated by selective fetocide with ultrasonographically guided potassium chloride injection of cornual pregnancy while maintaining the viabillity of the intrauterine gestation.

Keywords: Heterotopic pregnancy, Cornual pregnancy, Selective fetocide, KCl injection

Figures and Tables

Fig. 1
Heterotopic pregnancy with right cornus, CRL (19.6 mm; size of 8+4weeks of gestation), FHB (+), yolk sac (+), fetal movement (+). CRL, crown-rump length; FHB, fetal heart beat.
kjog-54-377-g001
Fig. 2
Four weeks after selective fetocide with normal intrauterine pregnancy.
kjog-54-377-g002

References

1. Steadman HE. Combined intrauterine and extrauterine pregnancy. Obstet Gynecol. 1953. 2:277–280.
2. Lee DH, Kim SJ, Ryu Y, Whang HK, Lee SY. A case of combined pregnancy. Korean J Obstet Gynecol. 1971. 14:39–40.
3. Kim JU, Park KZ, Chang SS, Ahn MO, Hwang DH. A case of combined intra-and extrauterine pregnancy. Korean J Obstet Gynecol. 1981. 24:1245–1248.
4. Kim EI, Song JS, Yoo JJ, Mok YJ. A case of combined pregnancy following GIFT with microsurgery. Korean J Fertil Steril. 1989. 16:103–107.
5. Park MC, Ahn CS, Kim SH, Moon SY, Lee JY, Chang YS. A case of combined pregnancy following IVF-ET. Korean J Obstet Gynecol. 1991. 34:1457–1462.
6. DeVoe RW, Pratt JH. Simultaneous intrauterine and extrauterine pregnancy. Am J Obstet Gynecol. 1948. 56:1119–1126.
7. Tal J, Haddad S, Gordon N, Timor-Tritsch I. Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: a literature review from 1971 to 1993. Fertil Steril. 1996. 66:1–12.
8. Lau S, Tulandi T. Conservative medical and surgical management of interstitial ectopic pregnancy. Fertil Steril. 1999. 72:207–215.
9. Dor J, Seidman DS, Levran D, Ben-Rafael Z, Ben-Shlomo I, Mashiach S. The incidence of combined intrauterine and extrauterine pregnancy after in vitro fertilization and embryo transfer. Fertil Steril. 1991. 55:833–834.
10. Rizk B, Tan SL, Morcos S, Riddle A, Brinsden P, Mason BA, et al. Heterotopic pregnancies after in vitro fertilization and embryo transfer. Am J Obstet Gynecol. 1991. 164:161–164.
11. Louis-Sylvestre C, Morice P, Chapron C, Dubuisson JB. The role of laparoscopy in the diagnosis and management of heterotopic pregnancies. Hum Reprod. 1997. 12:1100–1102.
12. Chandra PC, Schiavello HJ, Briggs SL, Samuels JD. Heterotopic pregnancy with term delivery after rupture of a first-trimester tubal pregnancy. A case report. J Reprod Med. 1999. 44:556–558.
13. Wright A, Kowalczyk CL, Quintero R, Leach RE. Selective embryo reduction in a heterotopic pregnancy using potassium chloride injection resulting in a hematosalpinx. Fertil Steril. 1996. 66:1028–1030.
14. Ghazeeri GS, Phillips OP, Emerson DS, Kutteh WH, Ke RW. Live birth after treatment of a heterotopic cornual pregnancy with fetal intrathoracic KCI. A case report. J Reprod Med. 2002. 47:1038–1040.
15. Ozgur K, Isikoglu M. Cornual heterotopic pregnancy: conservative treatment with transvaginal embryo reduction. Arch Gynecol Obstet. 2005. 271:73–75.
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