Transvaginal ultrasound-guided aspiration and instillation of hyperosmolar glucose for treatment of unruptured tubal heterotopic pregnancy |
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Authors: | Pelin Ocal Sanli Erkan Ismail Cepni Mehmet H Idil |
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Institution: | (1) Department of Obstetrics and Gynaecology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey;(2) Kizilelma Caddesi, No: 35/1 Fatih, 34300 Istanbul, Turkey |
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Abstract: | Objectives To report a case of tubal heterotopic pregnancy (HP) treated conservatively with transvaginal ultrasound-guided aspiration
and instillation of hyperosmolar glucose.
Methods Aspiration of the tubal ectopic pregnancy and hyperosmolar glucose instillation was performed with a 16-gauge needle under
transvaginal ultrasound guidance.
Results Unruptured tubal HP with positive cardiac activity was treated successfully without any further interventions, and intrauterine
pregnancy has reached full-term without any complications.
Conclusions Early diagnosis of this life-threatening condition is the key to its successful treatment. Transvaginal ultrasound-guided
aspiration and hyperosmolar glucose injection can be safely performed for the treatment of unruptured tubal HP. |
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Keywords: | Heterotopic pregnancy Hyperosmolar glucose In vitro fertilization Tubal pregnancy Transvaginal ultrasound-guided aspiration |
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