Heterotopic pregnancy after a single embryo transfer

Lee, Ji Sun; Hwa, Hyun; Han, Ae Ra; Lee, Seong Goo; Seong, Won Joon

doi:10.5468/ogs.2016.59.4.316

Cited by 13 publications

(8 citation statements)

References 9 publications

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“…This finding is almost similar to that reported in a metaanalysis conducted in the UK district general hospital by Odejinmi et al 26 EP's such as abdominal, heterotopic, ovarian and tuboovarian pregnancies are rare and it is known to represent 1.00%-3.00% of all EP cases. 27,28 A similar observation was made in the present study.…”

Section: Discussionsupporting

confidence: 92%

Ectopic pregnancies in low resource setting: a retrospective review of cases in Kumasi, Ghana

Yakub

Newton

Osei

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: Ectopic pregnancy remains a public health threat for women in reproductive age, and a major cause of maternal mortalities in the first trimester of pregnancy. Past studies in Ghana on the burden of Ectopic Pregnancy (EP) have focused on major referral health facilities with little consideration of primary health facilities. This study was set out to determine the prevalence of Ectopic Pregnancy, demographic characteristics involved and the various types of Ectopic Pregnancy seen in primary health settings in Kumasi, Ghana.Methods: A retrospective descriptive cross-sectional study was conducted at the Suntreso Government and Tafo Government Hospitals in the Kumasi metropolitan area from 2007 to 2017. A review of 28,600 obstetric cases recorded in registers of the two facilities was done using electronic data extraction form. The data were exported into STATA/IC 14.0 for statistical analysis.Results: A prevalence of 0.76% EP was recorded over the study period of 10 years. 61.75% of the women diagnosed with EP were between the ages of 21-30 years with a mean age and standard deviation of 27.61 and 5.91 respectively. Tubal (fallopian tubes) EP was seen in 76.96% of the women diagnosed with EP. 10.18% and 7.19% of the tubal EP occurred in the cornual and fimbriae respectively. Ruptured EP was seen in 58.99% of the cases.Conclusions: The study reported EP in about one in a hundred cases. The commonest EP that emerged from this study was tubal (fallopian tube) EP. Among the tubal EP, cornual and fimbria were the commonest EP that occurred in the fallopian tube. Although cases of tubo-ovarian and ovarian EP are rare, a significant percentage were observed in this study. Early reporting and diagnosis of EP should be of great importance to prevent ruptured EP and any associated complications.

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Section: Discussionsupporting

confidence: 92%

Ectopic pregnancies in low resource setting: a retrospective review of cases in Kumasi, Ghana

Yakub

Newton

Osei

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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“…The first reported case of HP after SET was reported in 2015 by Gergolet et al 7 In our search for previous cases of HP after SET in PubMed using the terms "single embryo transfer" and "heterotopic pregnancy" up to January 31, 2021, we found three HP cases after SET. [7][8][9] Herein, we reviewed four cases, including our case (Table 1). In all four cases, the patient had SI during the ART treatment, which means that SI may be the cause of HP after SET.…”

Section: Discussionmentioning

confidence: 99%

“…However, some cases of dichorionic twin after SET have been reported 6 . Moreover, only three cases of HP after SET have been reported 7–9 . These rare cases were suspected to be caused by sexual intercourse (SI) during ART treatment.…”

Section: Introductionmentioning

confidence: 99%

A rare case of heterotopic pregnancy after a single embryo transfer: A case report and literature review

Hosoya

Kasahara

Komazaki

et al. 2021

J of Obstet and Gynaecol

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Heterotopic pregnancy (HP) is a rare but life-threatening disease. We report a rare case of HP that occurred after single embryo transfer (SET) with spontaneous natural pregnancy possibly due to sexual intercourse (SI) during assisted reproductive technology treatment and reviewed previous reports. A 39-year-old woman at 7 weeks 5 days' gestation with anti-sperm antibody who underwent a single frozen-thawed embryo transfer in her natural cycle presented with lower abdominal pain and vaginal bleeding. She had several SIs before the day of SET. A viable intrauterine fetus and an extrauterine mass at the right adnexa were detected on transvaginal ultrasonography. An emergent laparoscopic surgery showed a swollen right fallopian tube, and right salpingectomy was performed. Unfortunately, intrauterine fetal death was diagnosed at 19 weeks' gestation. In conclusion, the possibility of HP should be considered in patients with SIs around the day of SET.

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“…2 However, assisted reproduction techniques are associated with significantly higher rate of heterotopic pregnancies reaching from 0.2% to 1% rate. 3 Furthermore, risk factors for heterotopic pregnancy include history of tubal surgery, ectopic pregnancy, pelvic inflammatory disease, and intrauterine device implantation. 1…”

Section: Introductionmentioning

confidence: 99%

A case of heterotopic pregnancy after clomiphene-induced ovulation

Alqahtani

2019

SAGE Open Medical Case Reports

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Heterotopic pregnancy is a rare condition in which both intrauterine and extrauterine pregnancies occur simultaneously. It was reported to be very rare in normal conceived pregnancy. However, with the considerable progress of the assisted reproductive techniques, the incidence of heterotopic pregnancy increased. Furthermore, the incidence also increases in previous abortions. In this case report, we will present and discuss a patient who had heterotopic pregnancy after clomiphene-induced ovulation as well as a history of previous abortion where the extrauterine fallopian tube ruptured and was managed surgically while the intrauterine pregnancy was preserved.

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Heterotopic pregnancy after a single embryo transfer

Cited by 13 publications

References 9 publications

Ectopic pregnancies in low resource setting: a retrospective review of cases in Kumasi, Ghana

Ectopic pregnancies in low resource setting: a retrospective review of cases in Kumasi, Ghana

A rare case of heterotopic pregnancy after a single embryo transfer: A case report and literature review

A case of heterotopic pregnancy after clomiphene-induced ovulation

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