Heterotopic pregnancy after bilateral salpingectomy resulting in near-term delivery of a healthy infant.

OBJECTIVE

To describe an unusual case of heterotopic pregnancy.

DESIGN

Case report.

SETTING

Division of Reproductive Medicine and Infertility, Women & Infants' Hospital of Rhode Island, Brown Medical School. Providence, Rhode Island.

PATIENT(S): A woman with an unusual heterotopic pregnancy who had had prior bilateral salpingectomies, but delivered a healthy female infant near term after requiring laparotomy for a ruptured left cornual pregnancy 28 days after embryo transfer.

INTERVENTION(S): IVF, laparotomy with wedge resection of the left tubal cornu, and near-term cesarean section.

MAIN OUTCOME MEASURE(S): Excision of ectopic pregnancy with preservation of intrauterine pregnancy.

RESULT(S): Delivery of a 2920 gram (6 lb, 7 oz) female infant.

CONCLUSION(S): Heterotopic pregnancy may occur after bilateral salpingectomy, but a satisfactory outcome can be obtained in such circumstances after surgical excision of the ectopic gestation and preservation of the intrauterine pregnancy.