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Choi, Moon, Park, Kim, Lee, Jung, Noh, and Kim: Full-term delivery in patient with heterotopic cornual pregnancy via selective fetal reduction with potassium chloride
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(12): 982-985.

Published online: 18 December 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.12.982

Full-term delivery in patient with heterotopic cornual pregnancy via selective fetal reduction with potassium chloride

Hee Jeong Choi, MD1, Myoung Jin Moon, MD2, Byung Kyoo Park, MD2, Mi Seon Kim, MD1, Ji Won Lee, MD1, Myung Chul Jung, MD1, Ji Hyun Noh, MD1, Yong Bong Kim, MD1

1Department of Obstetrics and Gynecology, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.

2Department of Obstetrics and Gynecology, Bundang CHA Women's Hospital, CHA University, Seongnam, Korea.

Corresponding author: Myoung Jin Moon, MD. Department of Obstetrics and Gynecology, Bundang CHA Women's Hospital, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam 463-712, Korea. Tel: +82-31-780-5298, Fax: +82-31-780-1976, mmj33@hanmail.net

Received 18 September 2012       Revised 22 October 2012       Accepted 22 October 2012

Copyright © 2012. 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 defined as simultaneous intrauterine and ectopic pregnancy. Natural occurrence rate is very low occuring 1/30,000. However, with the use of assisted reproductive technology (ART), the risk increases up to 1/7,000. It is important to continuously monitor the patient using ultrasonography after ART for early detection of heterotopic pregnancy. Treatment options include surgical and medical interventions for the maintenance of intrauterine pregnancy. This is a case of full-term birth following selective fetal reduction using potassium chloride in a heterotopic pregnancy along with relevant literature review.

Keywords: Heterotopic pregnancy, Cornual pregnancy, Selective fetal reduction, Potassium chloride

Figures and Tables

Fig. 1
Heterotopic pregnancy; intrauterine and cornual pregnancy.
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Fig. 2
Heterotopic pregnancy in right cornus, crown-rump length (6.9 mm), with heart beat.
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Fig. 3
Right cornual gestational sac, 1 day after selective fetal reduction.
kjog-55-982-g003

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