Pisarska M D, Casson P R, Moise K J, DiMaio D J, Buster J E, Carson S A
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas 77030, USA.
Fertil Steril. 1998 Jul;70(1):159-60. doi: 10.1016/s0015-0282(98)00104-6.
To report a case of laparoscopic treatment of a heterotopic primary abdominal pregnancy after IVF with preservation of the concurrent intrauterine pregnancy.
Case report.
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.
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