LAPAROSCOPIC TREATMENT OF HETEROTOPIC PREGNANCY

The increasing frequency of pelvic inflammatory disease and use of ovu lation-induction agents has resulted in a corresponding increase in th e frequency of heterotopic pregnancy. In most reported cases the diagn osis was made retrospectively at the time of laparotomy. With improvem ents in ultrasonography and operative laparoscopy, the diagnosis can b e made preoperatively and the disease treated surgically with low morb idity. In a woman who had received clomiphene citrate for ovulation in duction, the diagnosis of heterotopic pregnancy was suspected preopera tively based on transvaginal ultrasonography. The patient was treated laparoscopically by partial salpingectomy, and subsequently delivered a normal infant.