Revamping rarity: Successful treatment of heterotopic cervical pregnancy with transvaginal guided cervical aspiration and intra-amniotic KCL instillation: Case reports

Abstract

Objective: To present case reports of heterotopic cervical pregnancy successfully treated with conservative transvaginal ultrasound guided aspiration followed by intra-amniotic instillation of KCL. Design: Case report Setting: Advanced ART – ICSI cycle Patients: Two cases of infertility with cervical heterotopic pregnancy following ICSI FET cycle. Intervention: Transvaginal ultrasound guided intra-amniotic aspiration followed by intra-amniotic instillation of KCL. Main outcome measure: Successful outcome of intrauterine pregnancy, decreased maternal and fetal morbidity and recovery of the patients. Result: Successful selective reduction of cervical pregnancy and delivery of the intrauterine pregnancy at term. Conclusion: Transvaginal ultrasound guided aspiration followed by intra-amniotic instillation of KCL can be safely used as a conservative measure to manage cervical heterotopic pregnancy.