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Case Reports
. 2012 Jan;5(1):57-60.
doi: 10.4103/0974-1208.97807.

Successful management of heterotopic pregnancy after fetal reduction using potassium chloride and methotrexate

Deepika Deka  1 , Anupama Bahadur, Aprajita Singh, Neena Malhotra
Affiliations
Case Reports

Successful management of heterotopic pregnancy after fetal reduction using potassium chloride and methotrexate

Deepika Deka et al. J Hum Reprod Sci. 2012 Jan.

Abstract

Heterotopic pregnancy, the presence of two gestational sacs simultaneously, is a rare event but with the advent of Assisted Reproductive Technology, it is now an increasingly common complication. The reported incidence of a heterotopic pregnancy in a spontaneous cycle is quoted as 1 in 30,000. We report the case of a 38-year-old primigravida who was referred to our center at 11 + 2 weeks gestation with a diagnosis of heterotopic pregnancy for further management. A non-surgical intervention comprising of transvaginal ultrasound-guided potassium chloride and methotrexate into the cervical pregnancy resulted in a successful outcome. As an obstetrician, a high index of clinical suspicion and an early scan is mandatory to make a diagnosis of a heterotopic pregnancy and manage accordingly.

Keywords: Assisted reproductive technology; cervical pregnancy; heterotopic pregnancy.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Coexisting intrauterine and cervical pregnancy
See this image and copyright information in PMC

References

    1. Reece EA, Petrie RH, Sirmans MF, Finster M, Todd WD. Combined intrauterine and extrauterine gestations: A review. Am J Obstet Gynecol. 1983;146:323–30. - PubMed
    1. Tabsh KM. Transabdominal multifetal pregnancy reduction: Report of 40 cases. Obstet Gynecol. 1990;75:739–41. - PubMed
    1. Rowland DM, Geagan MB, Paul DA. Sonographic demonstration of combined quadruplet gestation with viable ectopic and concomitant intrauterine triplet pregnancies. J Ultrasound Med. 1987;6:89–91. - PubMed
    1. Strandell A, Thorburn J, Hamberger L. Risk factors for ectopic pregnancy in assisted reproduction. Fertil Steril. 1999;71:282–6. - PubMed
    1. Pisarska MD, Carson SA. Incidence and risk factors for ectopic pregnancy. Clin Obstet Gynecol. 1999;42:2–7. - PubMed

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