Laparoscopic resection of cornual heterotopic pregnancy after in vitro fertilization and embryo transfer leading to successful live birth

Heterotopic cornual pregnancy refers to the co-existence of intrauterine and extrauterine cornual pregnancies. This is rare, but the incidence increases in pregnancies associated with in vitro fertilization and embryo transfer (IVF-ET). A 36 year old gravida 2 para 0 woman with a history of bilateral salphingectomy underwent IVF-ET and was diagnosed with a heterotopic cornual pregnancy. She underwent diagnostic laparoscopy and wedge resection of the right cornual ectopic pregnancy. The intrauterine pregnancy progressed uneventfully and was delivered via caesarean section at 36 + 6 weeks. This case report illustrates the importance of early diagnosis of the condition, and how meticulous surgical technique is effective in removing the cornual ectopic pregnancy while preserving the intrauterine pregnancy.