Rare presentation of ectopic pregnancy following IVF-ET: live twin gestation in the same fallopian tube

ATABEKOĞLU C. S., Gozukucuk M., ÖZKAVUKCU İ. S., SÖNMEZER M.

HUMAN FERTILITY, cilt.12, sa.2, ss.122-124, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 12 Sayı: 2
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1080/14647270902852812
  • Dergi Adı: HUMAN FERTILITY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.122-124
  • Anahtar Kelimeler: hCG, IVF-ET, twin ectopic pregnancy, IN-VITRO FERTILIZATION, RISK-FACTORS
  • Ankara Üniversitesi Adresli: Evet

Özet

We report a case of a twin ectopic pregnancy (EP) after in vitro fertilization and embryo transfer (IVF-ET). A 24-year-old nulligravida presented with lower abdominal pain and vaginal bleeding 4 weeks after embryo transfer. Serum beta-HCG levels were 40 IU/mL, 90 IU/mL, and 1970 IU/mL on ET days 12, 14, and 23, respectively. Ultrasound examination revealed two ectopic gestational sacs with fetal heart beats in the left adnexa, without evidence of intrauterine pregnancy. At laparoscopy, one isthmic and another ampullary sac were detected in the left tube and left salpingectomy was performed. The patient was discharged healthy on postoperative day 2. Albeit extremely rare, ectopic pregnancies with abnormal presentation can be encountered following IVF-ET. Single embryo transfer may be advised to protect from ectopic pregnancies after IVF-ET.