EP16.09: 3D diagnosis of heterotopic cervical pregnancy: case report: Electronic Poster Abstracts

Heterotopic cervical pregnancy is extremely rare, and a viable intrauterine pregnancy and a patient's infertility history make management difficult. The incidence varies between 1 in 2,500 and 1 in 12,422 pregnancies. Our patient was a 38-year-old healthy, G VII, P0 patient who underwent IVF for treatment of primary female factor infertility. A transvaginal ultrasound was performed 35 days after ET, and two intrauterine gestational sacs with yolk sacs were detected, with one of them located in the cervical canal. One week later, a repeat transvaginal ultrasound revealed embryonic heartbeats in both gestational sacs. During targeted 3D ultrasound scan at Samsung WS80, a gestational sac measuring 15 mm in diameter with a viable embryo (Crown–rump length of 3.5 mm) was visualised in the fundal endometrial cavity. The cervix was 3.4 cm in length and we visualised ballooning of the endocervical canal with a second gestational sac measuring 14,7 mm in diameter with a viable embryo (Crown–rump length 3,7mm). Both gestational sacs are visualised at the same 3D imaging. The diagnosis of heterotopic pregnancy was established based upon 3D imaging findings. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.