Laparoscopic resection of cornual heterotopic pregnancy after in vitro fertilization and embryo transfer leading to successful live birth

Heterotopic cornual pregnancy refers to the co-existence of intrauterine and extrauterine cornual pregnancies. This is rare, but the incidence increases in pregnancies associated with in vitro fertilization and embryo transfer (IVF-ET). A 36 year old gravida 2 para 0 woman with a history of bilateral salphingectomy underwent IVF-ET and was diagnosed with a heterotopic cornual pregnancy. She underwent diagnostic laparoscopy and wedge resection of the right cornual ectopic pregnancy. The intrauterine pregnancy progressed uneventfully and was delivered via caesarean section at 36 + 6 weeks. This case report illustrates the importance of early diagnosis of the condition, and how meticulous surgical technique is effective in removing the cornual ectopic pregnancy while preserving the intrauterine pregnancy. Copyright (C) 2014, The Asia-Pacific Association for Gynecologic Endoscopy and Minimally Invasive Therapy. Published by Elsevier Taiwan LLC. All rights reserved.