Heterotopic pregnancy after bilateral salpingectomy resulting in near-term delivery of a healthy infant

Objective To describe an unusual case of heterotopic pregnancy. Design Case report. Setting Division of Reproductive Medicine and Infertility, Women & Infants' Hospital of Rhode Island, Brown Medical School. Providence, Rhode Island. Patient(s) A woman with an unusual heterotopic pregnancy who had had prior bilateral salpingectomies, but delivered a healthy female infant near term after requiring laparotomy for a ruptured left cornual pregnancy 28 days after embryo transfer. Intervention(s) IVF, laparotomy with wedge resection of the left tubal cornu, and near-term cesarean section. Main Outcome Measure(s) Excision of ectopic pregnancy with preservation of intrauterine pregnancy. Result(s) Delivery of a 2920 gram (6 lb, 7 oz) female infant. Conclusion(s) Heterotopic pregnancy may occur after bilateral salpingectomy, but a satisfactory outcome can be obtained in such circumstances after surgical excision of the ectopic gestation and preservation of the intrauterine pregnancy.