Risk of surgery after use of potassium chloride for treatment of tubal heterotopic pregnancy

Jerald S. Goldstein, Valerie S. Ratts, Timothy Philpott, Michael H. Dahan

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

BACKGROUND: Spontaneous heterotopic pregnancies are rare, but with assisted reproductive techniques the incidence may approach 1:100. With the widespread use of transvaginal ultrasonography, physicians have attempted treatment of heterotopic pregnancies with minimally invasive procedures such as transvaginal guided potassium chloride (KCI) injection. However, there are few data on the success of this treatment. CASE: A 30-year-old primigravida presented with a desired pregnancy and was found to have a tubal pregnancy in addition to an intrauterine pregnancy. Ultrasound-guided KCI injection into the heterotopic pregnancy was complicated by abdominal pain, surgical abdomen, and hemoperitoneum requiring salpingectomy. CONCLUSION: A review of the literature revealed that 55% of tubal heterotopic pregnancies treated by KCI injection required subsequent salpingectomy. This raises concerns about the advisability of this treatment.

Original languageEnglish
Pages (from-to)506-508
Number of pages3
JournalObstetrics and gynecology
Volume107
Issue number2 II
DOIs
StatePublished - Feb 1 2006

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