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Human Reproduction, Vol. 14, No. 5, 1375-1377, May 1999
© 1999 European Society of Human Reproduction and Embryology

Case Report:Successful non-surgical management of a heterotopic abdominal pregnancy following embryo transfer with cryopreserved–thawed embryos

Michael D. Scheiber1 and Marcelle I. Cedars2,3

1 Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, Ohio and 2 Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Colorado Health Sciences Center, Campus Box 198, 4200 East 9th Avenue, Denver, CO 80262, USA

Heterotopic pregnancy is an increasingly common complication of assisted reproductive technology. Abdominal pregnancy is a rare and life-threatening form of ectopic pregnancy that can present as the extrauterine portion of a heterotopic pregnancy. We present the case of a cryopreserved–thawed embryo transfer that resulted in a simultaneous intrauterine and abdominal pregnancy first recognized at 10 weeks gestation. Ultrasound-guided transvaginal injection of potassium chloride into the abdominal pregnancy resulted in asystole and spontaneous resorption of the ectopic fetus, while the intrauterine pregnancy continued and resulted in a liveborn vaginal delivery at full term. Selective embryo reduction using a non-surgical approach in a haemodynamically stable patient can therefore be considered in the management of heterotopic abdominal pregnancy if diagnosed relatively early.

Key words: abdominal pregnancy/cryopreserved embryo transfer/heterotopic pregnancy/in-vitro fertilization/selective embryo reduction

3 To whom correspondence should be addressed


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