Simultaneous cul-de-sac and tubal pregnancy following in vitro fertilization.
Taiwan J Obstet Gynecol
; 56(2): 250-252, 2017 Apr.
Article
em En
| MEDLINE
| ID: mdl-28420519
ABSTRACT
OBJECTIVE:
The aim of this study is to share a valuable experience of heterotopic pregnancy following in vitro fertilization. CASE REPORT A 37-year-old, gravida 3, para 2 (cesarean section 2 times), woman underwent in vitro fertilization with three embryos transferred. On Day 23 after the embryo transfer, right tubal pregnancy with a 0.7-cm gestational sac was found by ultrasound, and her serum ß-human chorionic gonadotropin level was 81,388 mIU/mL. She underwent a laparotomy with right salpingectomy. On Day 43 after the embryo transfer, intermittent abdominal pains developed. A live fetus with a crown-rump length of 2.0 cm was found in the cul-de-sac. Under the diagnosis of abdominal pregnancy, she was admitted for sona-guided KCl and methotrexate injections. She received four units of packed red blood cells due to a drop in hemoglobin level from 12.5 g/dL to 8.6 g/dL. The patient recovered well, and the serum ß-human chorionic gonadotropin declined to <10 mIU/mL.CONCLUSION:
Various forms of ectopic pregnancy should be kept in mind in early pregnancy following in vitro fertilization.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Gravidez Tubária
/
Gravidez Heterotópica
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Taiwan J Obstet Gynecol
Ano de publicação:
2017
Tipo de documento:
Article