Hyperosmolar glucose injection for the treatment of heterotopic ovarian pregnancy.

Journal Article (Journal Article)

BACKGROUND: Heterotopic pregnancy describes the relatively rare coexistence of one or more intrauterine gestations and one or more extrauterine (ectopic) gestations. We describe a unique clinical case involving successful treatment of an ovarian heterotopic pregnancy through gestational sac aspiration and injection of hyperosmolar glucose. CASE: A 31-year-old woman presented with an ovarian ectopic pregnancy and a viable intrauterine pregnancy after ovulation induction with oral medications. The ovarian gestational sac was aspirated and then injected transvaginally with a small volume of 50% glucose in water. The ectopic pregnancy resolved, and the intrauterine pregnancy was delivered at term without complication. CONCLUSION: Gestational sac aspiration and injection of hyperosmolar glucose into an ovarian ectopic pregnancy was simple and efficacious without compromising a coexisting intrauterine pregnancy.

Full Text

Duke Authors

Cited Authors

  • Allison, JL; Aubuchon, M; Leasure, JD; Schust, DJ

Published Date

  • August 2012

Published In

Volume / Issue

  • 120 / 2 Pt 2

Start / End Page

  • 449 - 452

PubMed ID

  • 22825262

Electronic International Standard Serial Number (EISSN)

  • 1873-233X

Digital Object Identifier (DOI)

  • 10.1097/AOG.0b013e31824f6379


  • eng

Conference Location

  • United States