Cornual Heterotopic Pregnancy after Bilateral Salpingectomy and Uterine Septum Resection Resulting in Term Delivery of a Healthy Infant

Heterotopic pregnancy is the simultaneous occurrence of two or more implantation sites. A 25-year-old infertile patient with a history of bilateral salpingectomy, uterine septum resection, and left cornual resection was diagnosed with heterotopic pregnancy in her second in vitro fertilization trial....

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Main Authors: Serkan Oral, Yaşam Kemal Akpak, Nilay Karaca, Ali Babacan, Kadir Savan
Format: Article
Language:English
Published: Hindawi Limited 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/157030
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spelling doaj-d6c3de4958df447cb9d314b30472da692020-11-25T00:11:38ZengHindawi LimitedCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/157030157030Cornual Heterotopic Pregnancy after Bilateral Salpingectomy and Uterine Septum Resection Resulting in Term Delivery of a Healthy InfantSerkan Oral0Yaşam Kemal Akpak1Nilay Karaca2Ali Babacan3Kadir Savan4Department of Assisted Reproduction, Liv Hospital, 34340 Istanbul, TurkeyDepartment of Obstetrics and Gynecology, Ankara Mevki Military Hospital, 06100 Ankara, TurkeyDepartment of Assisted Reproduction, 29 Mayis Hospital, 34250 Istanbul, TurkeyDepartment of Obstetrics and Gynecology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, 34668 Istanbul, TurkeyDepartment of Assisted Reproduction, Medical Park Bahcelievler Hospital, 34160 Istanbul, TurkeyHeterotopic pregnancy is the simultaneous occurrence of two or more implantation sites. A 25-year-old infertile patient with a history of bilateral salpingectomy, uterine septum resection, and left cornual resection was diagnosed with heterotopic pregnancy in her second in vitro fertilization trial. She attended our clinic when she was 7-week pregnant, complaining initially of severe abdominal pain. Findings associated with peritoneal irritation were positive during the physical examination. Transvaginal ultrasound revealed right cornual ectopic pregnancy with a live fetus in the middle of the uterine cavity. Also free fluid was noted in the pelvis. A diagnosis of heterotopic pregnancy with rupture of the cornual pregnancy was made. She underwent emergency laparoscopy with aspiration of the ruptured ectopic pregnancy, suturing to the entire visible cornual margins, and assurance of good haemostasis. Her recovery was uneventful and she continued receiving care in our obstetric unit. She delivered a healthy newborn by cesarean section at term.http://dx.doi.org/10.1155/2014/157030
collection DOAJ
language English
format Article
sources DOAJ
author Serkan Oral
Yaşam Kemal Akpak
Nilay Karaca
Ali Babacan
Kadir Savan
spellingShingle Serkan Oral
Yaşam Kemal Akpak
Nilay Karaca
Ali Babacan
Kadir Savan
Cornual Heterotopic Pregnancy after Bilateral Salpingectomy and Uterine Septum Resection Resulting in Term Delivery of a Healthy Infant
Case Reports in Obstetrics and Gynecology
author_facet Serkan Oral
Yaşam Kemal Akpak
Nilay Karaca
Ali Babacan
Kadir Savan
author_sort Serkan Oral
title Cornual Heterotopic Pregnancy after Bilateral Salpingectomy and Uterine Septum Resection Resulting in Term Delivery of a Healthy Infant
title_short Cornual Heterotopic Pregnancy after Bilateral Salpingectomy and Uterine Septum Resection Resulting in Term Delivery of a Healthy Infant
title_full Cornual Heterotopic Pregnancy after Bilateral Salpingectomy and Uterine Septum Resection Resulting in Term Delivery of a Healthy Infant
title_fullStr Cornual Heterotopic Pregnancy after Bilateral Salpingectomy and Uterine Septum Resection Resulting in Term Delivery of a Healthy Infant
title_full_unstemmed Cornual Heterotopic Pregnancy after Bilateral Salpingectomy and Uterine Septum Resection Resulting in Term Delivery of a Healthy Infant
title_sort cornual heterotopic pregnancy after bilateral salpingectomy and uterine septum resection resulting in term delivery of a healthy infant
publisher Hindawi Limited
series Case Reports in Obstetrics and Gynecology
issn 2090-6684
2090-6692
publishDate 2014-01-01
description Heterotopic pregnancy is the simultaneous occurrence of two or more implantation sites. A 25-year-old infertile patient with a history of bilateral salpingectomy, uterine septum resection, and left cornual resection was diagnosed with heterotopic pregnancy in her second in vitro fertilization trial. She attended our clinic when she was 7-week pregnant, complaining initially of severe abdominal pain. Findings associated with peritoneal irritation were positive during the physical examination. Transvaginal ultrasound revealed right cornual ectopic pregnancy with a live fetus in the middle of the uterine cavity. Also free fluid was noted in the pelvis. A diagnosis of heterotopic pregnancy with rupture of the cornual pregnancy was made. She underwent emergency laparoscopy with aspiration of the ruptured ectopic pregnancy, suturing to the entire visible cornual margins, and assurance of good haemostasis. Her recovery was uneventful and she continued receiving care in our obstetric unit. She delivered a healthy newborn by cesarean section at term.
url http://dx.doi.org/10.1155/2014/157030
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