SELECTIVE EMBRYO REDUCTION IN A HETEROTOPIC PREGNANCY USING POTASSIUM-CHLORIDE INJECTION RESULTING IN A HEMATOSALPINX

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