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Case Reports in Obstetrics and Gynecology
Volume 2014, Article ID 157030, 3 pages
http://dx.doi.org/10.1155/2014/157030
Case Report

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

1Department of Assisted Reproduction, Liv Hospital, 34340 Istanbul, Turkey
2Department of Obstetrics and Gynecology, Ankara Mevki Military Hospital, 06100 Ankara, Turkey
3Department of Assisted Reproduction, 29 Mayis Hospital, 34250 Istanbul, Turkey
4Department of Obstetrics and Gynecology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, 34668 Istanbul, Turkey
5Department of Assisted Reproduction, Medical Park Bahcelievler Hospital, 34160 Istanbul, Turkey

Received 4 July 2014; Revised 10 September 2014; Accepted 30 September 2014; Published 5 November 2014

Academic Editor: Svein Rasmussen

Copyright © 2014 Serkan Oral et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.