Okohue JE1*, Otokwala JG2 and Mbachu II3
1Fertility Unit, Gynescope Specialist Hospital, Nigeria
2Department of Anesthesia, University of Port Harcourt Teaching Hospital, Nigeria
3Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nigeria
Heterotopic pregnancy is a rare complication of In Vitro Fertilization (IVF) treatment cycles. The diagnosis may be delayed until complications occur. The aim of treatment is to extract the ectopic gestational sac while preserving the intrauterine pregnancy. We present the case of a 42-year old primipara with heterotopic pregnancy: Intrauterine twin gestation and an ectopic pregnancy, following IVF treatment. She had exploratory laparotomy with left partial salpingectomy. She subsequently had an emergency cesarean section at 32 weeks gestation following preterm labor with spontaneous rupture of membranes. The outcome was a successful twin delivery. Diligent ultrasonographic assessment to rule out ectopic gestation is advised in all cases of IVF conceptions, even if an intrauterine gestation is confirmed.
IVF; Heterotopic; Ectopic; Twins
Okohue JE, Otokwala JG, Mbachu II.Heterotopic Pregnancy: Successful Treatment with Twin Delivery. Ann Infert
Rep Endocrin. 2021, 4(1): 1023..