Case of progressive intrauterine twin pregnancy after surgical treatment of cornual pregnancy

Successful expectant management for a cornual heterotopic pregnancy

“…The medical option presents the main disadvantage of a risk of failure with subsequent uterine horn rupture with catastrophic bleeding. This limits the medical option to the only cornual heterotopic pregnancies identified during the first trimester (3)(4)(5)(6)(7). Moreover, potassium chloride in situ administration may diffuse via the myometrium to the…”

“…Its incidence is approximately 1 in 30,000 natural gestations and 1% after assisted reproductive technology procedures (1,2). An ectopic pregnancy can implant lateral to the round ligament in the interstitial part of the fallopian tube (interstitial pregnancy), in the uterotubal junction, in the lateral angle of the uterine cavity, or in a rudimentary horn (3). As the uterine horn is abundantly vascularized through the branches of the uterine and ovaries arteries, a cornual pregnancy combined with an intrauterine pregnancy creates a high risk of rupture with sudden and excessive blood loss, and subsequent abortion of the intrauterine pregnancy.…”

Heterotopic Pregnancy

“…15 The rate of live births in heterotopic triplets is around 60% but in one review the rate of live births was 92.3%. [26][27][28] These figures can be useful in counselling patients and reassuring them about the good chances of the normally-sited pregnancy progressing well to term deliveries.…”

Laparoscopic Management of Lately Diagnosed Triplet Heterotopic Pregnancy

“…Reasons could be due to transfer of a large number embryos, a transfer near the uterine horn, excessive pressure on the syringe and deep insertion of the catheter during transfer, the quality of the embryos, the hormonal milieu at the moment of transfer, the use of gonadotropins, the amount of fluid used as media for the embryos [2].…”