A magnetic resonance imaging approach for the diagnosis of a triplet cornual pregnancy.

Objectives: To describe a rare case of triplet cornual pregnancy after IVF-ET and to assess the role of magnetic resonance imaging (MRI) for early diagnosis.

DESIGN:
Case report.

SETTING:
Infertility and IVF Unit, in an university medical center.

PATIENT:
A 31-year-old healthy patient with a 3-year history of primary male infertility.

INTERVENTION:
Standard IVF-ET treatment cycle, using a GnRH-agonist (long protocol) and hMG for ovarian stimulation.

RESULTS:
A cornual triplet pregnancy is described with the approach for the diagnosis. Magnetic resonance imaging was complementary to endovaginal sonography for early diagnosis and permitted a timed conservative management.

CONCLUSIONS:
When transvaginal ultrasound findings did not provide an accurate location of the pregnancy, MRI was indicated to confirm the diagnosis.