CORNUAL HETEROTOPIC PREGNANCY AND CORNUAL RESECTION AFTER IN-VITRO FERTILIZATION-EMBRYO TRANSFER - A REPORT OF 2 CASES

BACKGROUND: Heterotopic pregnancy occurs in about 1% of pregnancies ac hieved with assisted reproductive technologies. The incidence of cornu al pregancy is approximately 1% of ail ectopics. CASES: Two patients b ecame pregnant after treatment with IVF-ET. Both presented during the first trimester with evidence of an acute abdomen and ultrasonographic suspicion for cornual heterotopic pregnancies. The diagnoses were con firmed by laparoscopy, and treatment was undertaken with laparotomy wi th cornual resection. Both delivered viable infants by cesarean sectio n; the first patient delivered a twin gestation at 28 weeks and the se cond a singleton pregnancy at 37 weeks. All infants were doing well tw o months after delivery. CONCLUSION: Abnormal pregnancies can be detec ted after IVF-ET with careful follow-up, transvaginal ultrasound studi es, serial hCG measurements and pelvic examinations. Cornual heterotop ic pregnancies can be successfully treated with cornual resection, esp ecially in cases presenting during the second trimester or when there is clinical evidence of an acute abdomen. All deliveries should be per formed by cesarean section at term prior to labor or when tocolysis fo r premature labor has failed.