Early diagnosis of heterotopic triplet pregnancy with an intrauterine and bilateral tubal pregnancy after IVF: A case report

Buca, D.; Murgano, Daniela; Impicciatore, Gianna Gabriella; Castigliego, A.P.; Iannantuono, C; Leombroni, Martina; Falò, Eleonora; Liberati, Marco

doi:10.3109/01443615.2014.993940

Cited by 11 publications

(13 citation statements)

References 9 publications

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“…Transvaginal ultrasound is the key to diagnose heterotopic pregnancy. 2,3 However, it continues to have a low sensitivity because the diagnosis is often missed or overlooked. 4,5 Therefore the diagnosis is often delayed leading to serious consequences.…”

Section: Discussion Of Managementmentioning

confidence: 99%

A Rare Case of Heterotopic Pregnancy

Geetha¹,

Deb²

2018

jebmh

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Section: Discussion Of Managementmentioning

confidence: 99%

A Rare Case of Heterotopic Pregnancy

Geetha¹,

Deb²

2018

jebmh

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“…Though the sensitivity of transvaginal sonographic examination, ranged from 26.3% to 92.4%, in the definitive diagnosis of HP is still debatable, 1 , 6 a routine transvaginal sonographic examination at 4 to 6 weeks after ART to exclude EP and HP is recommended. 7 , 15 , 18 So, an early transvaginal sonographic examination is recommended in early pregnancy, especially those patients conceived via ART or those with other risk factors.…”

Section: Discussionmentioning

confidence: 99%

“…Unlike those patients with EP only, most HP patients are conceived via ART and have a strong desire to preserve the viable IUP, so the key point of treatment is to preserve the viable IUP and to resolve the EP, this makes the treatment of HP difficult and challenging. 1 , 18 …”

Section: Discussionmentioning

confidence: 99%

Management of Heterotopic Pregnancy

Kong²,

Yang³

et al. 2016

Medicine

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The objective of this study is to summarize the experiences of our department in the management of heterotopic pregnancy (HP) and to analyze the influence of different treatment modality on the viable intrauterine pregnancy.There were 64 patients diagnosed as HP in the Department of Gynecology and Obstetrics in our hospital between January 2003 and June 2014, 52 HP patients with viable intrauterine pregnancy were included and analyzed in our study. Interventions included expectant management, surgical management and transabdominal sonographic guided transvaginal aspiration of ectopic gestational embryo (embryo aspiration) management.Main outcome measures are maternal outcome and pregnancy outcome.In expectant management group, 4 patients suffered rupture of ectopic pregnancy, 6 patients transferred to surgical management, 1 patient suffered a fever of 40.4°C, the abortion rate was 5% (1/20). In surgical management group, emergency surgery was performed in 9 patients with unstable hemodynamics and 3 patients with stable hemodynamics, 1 patient suffered uterine rupture 5 weeks later and dead fetus was demonstrated, 1 patient suffered urinary retention postoperative, the abortion rate was 14.8% (4/27). In embryo aspiration management group, 1 patient needed another embryo aspiration, all patients were eventful and no abortion was observed.In our retrospective study, transabdominal sonographic guided aspiration of ectopic gestational embryo has the best maternal outcome and the lowest abortion rate, surgical management group shows the highest abortion rate, and expectant management presents the worst maternal outcome.

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“…No growing follicle was detected at the time of the embryo transfer; therefore, it was thought that natural ovulation did not occur. Although previous case reports have described bilateral tubal pregnancies due to multiple ovulations [3][4][5] or multiple-embryo transfer, [6][7][8][9][10][11][12][13] as far as can be ascertained from a database search, this represents the first case of bilateral tubal pregnancies after a singleembryo transfer to be reported worldwide. In the present case, the embryo was conjectured to have divided in the uterus after the transfer, forming monozygotic twins (MZT).…”

Section: Discussionmentioning

confidence: 99%

“…Bilateral tubal pregnancies are extremely rare in natural pregnancies, with an incidence of only 1 in 200 000 . All previously reported cases of bilateral tubal pregnancies, both in Japan and overseas, have been a result of multiple ovulations or multiple‐embryo transfer . As far as can be ascertained from a database search, no case of bilateral tubal pregnancies after a single‐embryo transfer has been reported.…”

Section: Introductionmentioning

confidence: 99%

Bilateral tubal pregnancies after a single‐embryo transfer

Sugawara

Rie

Kato

et al. 2017

Reprod Medicine & Biology

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CaseTo present an extremely rare case of bilateral tubal pregnancies following a single‐embryo transfer in a woman with a 4 year history of infertility prior to seeking assisted reproductive technology.OutcomeA pregnancy resulted from the transfer of an embryo that had been thawed from a frozen blastocyst during a hormone replacement cycle. An ultrasound that was performed at 5 weeks and 5 days of gestation revealed a gestational sac, embryo, and heartbeat in the right fallopian tube and similar signs of a gestational sac in the left fallopian tube. A laparoscopy revealed clear signs of an ectopic pregnancy in the ampulla of the right fallopian tube. Signs of swelling also were seen in the ampulla of the left fallopian tube. As the possibility of bilateral tubal pregnancies could not be ruled out, both fallopian tubes were removed. Pathological tests revealed chorionic villi and trophoblasts in both the left and right fallopian tubes.ConclusionAll previously reported cases of bilateral tubal pregnancies have been a result of multiple ovulations or multiple‐embryo transfer and no case of bilateral tubal pregnancies after a single‐embryo transfer has ever been reported. No genetic testing was performed; thus, it cannot be definitively stated that the divided chorionic villi and trophoblasts came from only one embryo.

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Early diagnosis of heterotopic triplet pregnancy with an intrauterine and bilateral tubal pregnancy after IVF: A case report

Cited by 11 publications

References 9 publications

A Rare Case of Heterotopic Pregnancy

A Rare Case of Heterotopic Pregnancy

Management of Heterotopic Pregnancy

Bilateral tubal pregnancies after a single‐embryo transfer

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