Selective embryo reduction in a heterotopic pregnancy using potassium chloride injection resulting in a hematosalpinx

A. Wright, C. L. Kowalczyk, R. Quintero, R. E. Leach

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Objective: To incorporate conservative management of a heterotopic pregnancy using injection of KCl into the ectopic pregnancy (EP). Design: A retrospective case report. Setting: A patient referred to an academic institution in the division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, incorporating the ultrasound (US) and operating room facilities. Intervention(s): Using US as a guide, KCl was injected into the chorionic cavity of an EP. Main Outcome Measure(s): Resolution of ectopic gestational tissue with resultant hematosalpinx requiring exploratory laparotomy. Uncomplicated prenatal course of intrauterine pregnancy. Result(s): Injection of KCl into the chorionic cavity of EP resulting in resolution of gestational tissue but complicated by hematosalpinx in the fallopian tube. Conclusion(s): Selective embryo reduction of a tubal heterotopic pregnancy remains a viable therapeutic option.

Original languageEnglish (US)
Pages (from-to)1028-1030
Number of pages3
JournalFertility and sterility
Volume66
Issue number6
DOIs
StatePublished - Jan 1 1996

Keywords

  • embryo reduction
  • Heterotopic pregnancy
  • salpingocentesis
  • tubal pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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