Selective embryo reduction in a heterotopic pregnancy using potassium chloride injection resulting in a hematosalpinx.

OBJECTIVE

To incorporate conservative management of a heterotopic pregnancy using injection of KCl into the ectopic pregnancy (EP).

METHODS

A retrospective case report.

METHODS

A patient referred to an academic institution in the division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, incorporating the ultrasound (US) and operating room facilities.

METHODS

Using US as a guide, KCl was injected into the chorionic cavity of an EP.

METHODS

Resolution of ectopic gestational tissue with resultant hematosalpinx requiring exploratory laparotomy. Uncomplicated prenatal course of intrauterine pregnancy.

RESULTS

Injection of KCl into the chorionic cavity of EP resulting in resolution of gestational tissue but complicated by hematosalpinx in the fallopian tube.

CONCLUSIONS

Selective embryo reduction of a tubal heterotopic pregnancy remains a viable therapeutic option.