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Published in: Gynecological Surgery 2/2011

01-05-2011 | Communication

Laparoscopic management of cornual heterotopic pregnancy with the use of Harmonic ACE®—a case report

Authors: Sonia Chachan, N. Waters, A. Kent

Published in: Gynecological Surgery | Issue 2/2011

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Abstract

Heterotopic pregnancy is the simultaneous coexistence of both intrauterine and extrauterine pregnancies.Cornual heterotopic pregnancies can cause catastrophic haemorrhage because of their location. Available evidence suggests that they have usually been managed surgically by laparotomy and cornual resection, few were managed medically and two expectantly. Of the surgical group, only three underwent laparoscopic management. We report the first case of successful management of cornual heterotpic pregnancy by Harmonic ACE® and a favourable outcome of the intrauterine pregnancy.
Literature
1.
go back to reference De VR, Pratt JH (1948) Simultaneous intrauterine and extrauterine pregnancy. Am J Obstet Gynecol 56(6):1119–1126 De VR, Pratt JH (1948) Simultaneous intrauterine and extrauterine pregnancy. Am J Obstet Gynecol 56(6):1119–1126
2.
go back to reference In vitro fertilization-embryo transfer (IVF-ET) (1992) in the United States: 1990 results from the IVF-ET Registry. Medical Research International. Society for Assisted Reproductive Technology (SART), The American Fertility Society. Fertil Steril 57(1):15–24 In vitro fertilization-embryo transfer (IVF-ET) (1992) in the United States: 1990 results from the IVF-ET Registry. Medical Research International. Society for Assisted Reproductive Technology (SART), The American Fertility Society. Fertil Steril 57(1):15–24
3.
go back to reference Goldman GA, Fisch B, Ovadia J, Tadir Y (1992) Heterotopic pregnancy after assisted reproductive technologies. Obstet Gynecol Surv 47(4):217–221PubMedCrossRef Goldman GA, Fisch B, Ovadia J, Tadir Y (1992) Heterotopic pregnancy after assisted reproductive technologies. Obstet Gynecol Surv 47(4):217–221PubMedCrossRef
4.
go back to reference Lund PR, Sielaff GW, Aiman EJ (1989) In vitro fertilization patient presenting in hemorrhagic shock caused by unsuspected heterotopic pregnancy. Am J Emerg Med 7(1):49–53PubMedCrossRef Lund PR, Sielaff GW, Aiman EJ (1989) In vitro fertilization patient presenting in hemorrhagic shock caused by unsuspected heterotopic pregnancy. Am J Emerg Med 7(1):49–53PubMedCrossRef
5.
go back to reference Molloy D, Deambrosis W, Keeping D, Hynes J, Harrison K, Hennessey J (1990) Multiple-sited (heterotopic) pregnancy after in vitro fertilization and gamete intrafallopian transfer. Fertil Steril 53(6):1068–1071PubMed Molloy D, Deambrosis W, Keeping D, Hynes J, Harrison K, Hennessey J (1990) Multiple-sited (heterotopic) pregnancy after in vitro fertilization and gamete intrafallopian transfer. Fertil Steril 53(6):1068–1071PubMed
6.
go back to reference Habana A, Dokras A, Giraldo JL, Jones EE (2000) Cornual heterotopic pregnancy: contemporary management options. Am J Obstet Gynecol 182(5):1264–1270PubMedCrossRef Habana A, Dokras A, Giraldo JL, Jones EE (2000) Cornual heterotopic pregnancy: contemporary management options. Am J Obstet Gynecol 182(5):1264–1270PubMedCrossRef
7.
go back to reference Honarbakhsh A, Khoori E, Mousavi S (2008) Heterotopic pregnancy following ovulation induction by Clomiphene and a healthy live birth: a case report. J Med Case Reports 2:390PubMedCrossRef Honarbakhsh A, Khoori E, Mousavi S (2008) Heterotopic pregnancy following ovulation induction by Clomiphene and a healthy live birth: a case report. J Med Case Reports 2:390PubMedCrossRef
8.
go back to reference Abdalla HI, Ahuja KK, Morris N, Lynn J (1986) Combined intra-abdominal and intrauterine pregnancies after gamete intrafallopian transfer. Lancet 2(8516):1153–1154PubMedCrossRef Abdalla HI, Ahuja KK, Morris N, Lynn J (1986) Combined intra-abdominal and intrauterine pregnancies after gamete intrafallopian transfer. Lancet 2(8516):1153–1154PubMedCrossRef
9.
go back to reference Olive DL, Taylor N, Cothran GE, Schenken RS (1988) Gamete intrafallopian transfer (GIFT) complicated by bilateral ectopic pregnancy. Fertil Steril 49(4):719–720PubMed Olive DL, Taylor N, Cothran GE, Schenken RS (1988) Gamete intrafallopian transfer (GIFT) complicated by bilateral ectopic pregnancy. Fertil Steril 49(4):719–720PubMed
10.
go back to reference Chang CC, Wu TH, Tsai HD, Lo HY (1998) Bilateral simultaneous tubal sextuplets: pregnancy after in-vitro fertilization–embryo transfer following salpingectomy. Hum Reprod 13(3):762–765PubMedCrossRef Chang CC, Wu TH, Tsai HD, Lo HY (1998) Bilateral simultaneous tubal sextuplets: pregnancy after in-vitro fertilization–embryo transfer following salpingectomy. Hum Reprod 13(3):762–765PubMedCrossRef
11.
go back to reference Bisca BV, Felder ME (1960) Coexistent interstitial and intrauterine pregnancy following homolateral salpingo-oophorectomy: report of a case. Am J Obstet Gynecol 79:263–265PubMed Bisca BV, Felder ME (1960) Coexistent interstitial and intrauterine pregnancy following homolateral salpingo-oophorectomy: report of a case. Am J Obstet Gynecol 79:263–265PubMed
12.
go back to reference Lau S, Tulandi T (1999) Conservative medical and surgical management of interstitial ectopic pregnancy. Fertil Steril 72(2):207–215PubMedCrossRef Lau S, Tulandi T (1999) Conservative medical and surgical management of interstitial ectopic pregnancy. Fertil Steril 72(2):207–215PubMedCrossRef
13.
go back to reference Rock J, Thompson J (2003) Telinde's Operative Gynecology. Lippincott-Raven, Philadelphia Rock J, Thompson J (2003) Telinde's Operative Gynecology. Lippincott-Raven, Philadelphia
14.
go back to reference Timor-Tritsch IE, Monteagudo A, Matera C, Veit CR (1992) Sonographic evolution of cornual pregnancies treated without surgery. Obstet Gynecol 79(6):1044–1049PubMed Timor-Tritsch IE, Monteagudo A, Matera C, Veit CR (1992) Sonographic evolution of cornual pregnancies treated without surgery. Obstet Gynecol 79(6):1044–1049PubMed
15.
go back to reference Pasic RP, Hammons G, Gardner JS, Hainer M (2002) Laparoscopic treatment of cornual heterotopic pregnancy. J Am Assoc Gynecol Laparosc 9(3):372–375PubMedCrossRef Pasic RP, Hammons G, Gardner JS, Hainer M (2002) Laparoscopic treatment of cornual heterotopic pregnancy. J Am Assoc Gynecol Laparosc 9(3):372–375PubMedCrossRef
16.
go back to reference Divry V, Hadj S, Bordes A, Genod A, Salle B (2007) Case of progressive intrauterine twin pregnancy after surgical treatment of cornual pregnancy. Fertil Steril 87(1):190PubMedCrossRef Divry V, Hadj S, Bordes A, Genod A, Salle B (2007) Case of progressive intrauterine twin pregnancy after surgical treatment of cornual pregnancy. Fertil Steril 87(1):190PubMedCrossRef
17.
go back to reference van der Weiden RM, Karsdorp VH (2005) Recurrent cornual pregnancy after heterotopic cornual pregnancy successfully treated with systemic methotrexate. Arch Gynecol Obstet 273(3):180–181PubMedCrossRef van der Weiden RM, Karsdorp VH (2005) Recurrent cornual pregnancy after heterotopic cornual pregnancy successfully treated with systemic methotrexate. Arch Gynecol Obstet 273(3):180–181PubMedCrossRef
18.
go back to reference Lam PM, Lok IH, Yip SK (2004) Two cases of heterotopic cornual pregnancy with initially missed diagnosis. Aust NZ J Obstet Gynaecol 44(3):256–259CrossRef Lam PM, Lok IH, Yip SK (2004) Two cases of heterotopic cornual pregnancy with initially missed diagnosis. Aust NZ J Obstet Gynaecol 44(3):256–259CrossRef
19.
go back to reference Ozgur K, Isikoglu M (2005) Cornual heterotopic pregnancy: conservative treatment with transvaginal embryo reduction. Arch Gynecol Obstet 271(1):73–75PubMedCrossRef Ozgur K, Isikoglu M (2005) Cornual heterotopic pregnancy: conservative treatment with transvaginal embryo reduction. Arch Gynecol Obstet 271(1):73–75PubMedCrossRef
20.
go back to reference Oyawoye S, Chander B, Pavlovic B, Hunter J, Gadir AA (2003) Heterotopic pregnancy: successful management with aspiration of cornual/interstitial gestational sac and instillation of small dose of methotrexate. Fetal Diagn Ther 18(1):1–4PubMedCrossRef Oyawoye S, Chander B, Pavlovic B, Hunter J, Gadir AA (2003) Heterotopic pregnancy: successful management with aspiration of cornual/interstitial gestational sac and instillation of small dose of methotrexate. Fetal Diagn Ther 18(1):1–4PubMedCrossRef
21.
go back to reference Ghazeeri GS, Phillips OP, Emerson DS, Kutteh WH, Ke RW (2002) Live birth after treatment of a heterotopic cornual pregnancy with fetal intrathoracic KCI. A case report. J Reprod Med 47(12):1038–1040PubMed Ghazeeri GS, Phillips OP, Emerson DS, Kutteh WH, Ke RW (2002) Live birth after treatment of a heterotopic cornual pregnancy with fetal intrathoracic KCI. A case report. J Reprod Med 47(12):1038–1040PubMed
22.
go back to reference Sills ES, Perloe M, Kaplan CR, Sweitzer CL, Morton PC, Tucker MJ (2002) Uncomplicated pregnancy and normal singleton delivery after surgical excision of heterotopic (cornual) pregnancy following in vitro fertilization/embryo transfer. Arch Gynecol Obstet 266(3):181–184PubMedCrossRef Sills ES, Perloe M, Kaplan CR, Sweitzer CL, Morton PC, Tucker MJ (2002) Uncomplicated pregnancy and normal singleton delivery after surgical excision of heterotopic (cornual) pregnancy following in vitro fertilization/embryo transfer. Arch Gynecol Obstet 266(3):181–184PubMedCrossRef
23.
go back to reference van der Weiden RM, Brandenburg H (2001) Cornual heterotopic pregnancy: contemporary management options. Am J Obstet Gynecol 185(2):522PubMedCrossRef van der Weiden RM, Brandenburg H (2001) Cornual heterotopic pregnancy: contemporary management options. Am J Obstet Gynecol 185(2):522PubMedCrossRef
24.
go back to reference Sherer DM, Scibetta JJ, Sanko SR (1995) Heterotopic quadruplet gestation with laparoscopic resection of ruptured interstitial pregnancy and subsequent successful outcome of triplets. Am J Obstet Gynecol 172(1 Pt 1):216–217PubMedCrossRef Sherer DM, Scibetta JJ, Sanko SR (1995) Heterotopic quadruplet gestation with laparoscopic resection of ruptured interstitial pregnancy and subsequent successful outcome of triplets. Am J Obstet Gynecol 172(1 Pt 1):216–217PubMedCrossRef
25.
go back to reference Vilos GA (1995) Laparoscopic resection of a heterotopic cornual pregnancy followed by term vaginal delivery. J Am Assoc Gynecol Laparosc 2(4):471–473PubMedCrossRef Vilos GA (1995) Laparoscopic resection of a heterotopic cornual pregnancy followed by term vaginal delivery. J Am Assoc Gynecol Laparosc 2(4):471–473PubMedCrossRef
Metadata
Title
Laparoscopic management of cornual heterotopic pregnancy with the use of Harmonic ACE®—a case report
Authors
Sonia Chachan
N. Waters
A. Kent
Publication date
01-05-2011
Publisher
Springer-Verlag
Published in
Gynecological Surgery / Issue 2/2011
Print ISSN: 1613-2076
Electronic ISSN: 1613-2084
DOI
https://doi.org/10.1007/s10397-009-0534-y

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