Successful non-surgical management of a heterotopic abdominal pregnancy following embryo transfer with cryopreserved-thawed embryos

Heterotopic pregnancy is an increasingly common complication of assisted re productive technology. Abdominal pregnancy is a rare and life-threatening f orm of ectopic pregnancy that can present as the extrauterine portion of a heterotopic pregnancy. We present the case of a cryopreserved-thawed embryo transfer that resulted in a simultaneous intrauterine and abdominal pregna ncy first recognized at 10 weeks gestation. Ultrasound-guided transvaginal injection of potassium chloride into the abdominal pregnancy resulted in as ystole and spontaneous resorption of the ectopic fetus, while the intrauter ine pregnancy continued and resulted in a liveborn vaginal delivery at full term. Selective embryo reduction using a non-surgical approach in a haemod ynamically stable patient can therefore be considered in the management of heterotopic abdominal pregnancy if diagnosed relatively early.