tubal patency after ultrasound guided local injection of kcl to tubal ectopic pregnancy with alive fetus

Background: ectopic pregnancy is one of the pathologic entities that it destroys thefallopian tube and impairs the future pregnancy. there are different medical andsurgical therapies in order the treatment and reserve of fertility. the aim of this report isdiscuss a case of successful intrauterine after management of ectopic pregnancy withlocal injection of kcl in an infertile pcod patient.case: the patient was a pcod woman with gestational age of 8.5 weeks. onegestational sac and alive fetus with normal heart beat was seen in the right adnexa.hemodynamic situation was stable. 0.5cc kcl 10% was injected to the fetal heart andthe extracted tissue sent for pathology. we evaluated the effects of this treatment bymeasuring serial human chorionic gonadotropin (hcg) titers. moreover, we usedhysterosalpingogrphy to diagnose and to evaluate the patency of the tubes. inductionovulation and intrauterine insemination was done and pregnancy occurred. patientpassed the pregnancy very good and she delivered by cesarean section due to breechpresentation at 39 weeks of gestational age. there was no sign of pathologic finding inthe tubes or adhesion or sequel of ectopic pregnancy.conclusion: the beneficial outcomes of this kind of treatment suggest that localinjection of kcl as a low invasive treatment can be the choice treatment for alive andprogressed ectopic pregnancy or heterotopic pregnancy. because of rarity of thismanagement and successful intrauterine we reported the usefulness of local kclinjection for the successful conservative treatment of alive ectopic pregnancy in iran.