Abstract:

Heterotopic pregnancy (HP) is a pathological pregnancy defined as the coexistent intrauterine and cornual heterotopic pregnancy (CHP), which is a rare type that can cause serious harm to both the intrauterine pregnancy and mother. The treatment of CHP was not completely unified, including expected treatment, fetal reduction and surgical treatment. In May 2018, a patient with CHP was diagnosed in our hospital by three-dimensional ultrasound at 27 days after in vitro fertilization-embryo transfer (IVF-ET). Laparoscopic surgery was performed at 37 days to remove the horn pregnancy, but ultrasound showed the pregnancy residue on cornua uteri after surgery. The live birth of intrauterine pregnancy and good maternal outcome were finally obtained. This case suggested that the advantages and disadvantages of various treatments should be carefully considered, and that those patients should be closely following up during pregnancy, in order to achieve good maternal and fetal outcomes.

Key words: Pregnancy,heterotopic, Pregnancy,ectopic, Pregnancy,cornual, Reproductive techniques,assisted, Laparoscopy, Therapy