HETEROTOPIC ABDOMINAL PREGNANCY TREATED AT LAPAROSCOPY

Objective: To report a case of laparoscopic treatment of a heterotopic primary abdominal pregnancy after IVF with preservation of the concur rent intrauterine pregnancy. Design: Case report Setting: University-b ased IVF program. Patient(s): A woman with a heterotopic abdominal pre gnancy after IVF-ET. Intervention(s): Pituitary down-regulation with l uteal leuprolide acetate, ovulation induction with menotropins, IVF-ET , progesterone in oil for luteal support, laparoscopy, and resection o f the abdominal gestation. Main Outcome Measure(s): Human chorionic go nadotropin levels, pelvic ultrasound examinations, and laparoscopic an d pathologic findings. Result(s): A heterotopic abdominal pregnancy oc curred after NF-ET and was treated successfully with laparoscopy. The concurrent intrauterine pregnancy was delivered at term. Conclusion(s) : Early diagnosis of an ectopic abdominal pregnancy allowed successful laparoscopic treatment, without sequelae to the intrauterine gestatio n. (Fertil Steril(R) 1998;70:159-60. (C) 1998 by American Society for Reproductive Medicine.).