Heterotopic pregnancy after bilateral salpingectomy resulting in near-term delivery of a healthy infant

Blazar, Andrew S.; Frishman, Gary N.; Winkler, Nurit

doi:10.1016/j.fertnstert.2007.01.114

Cited by 11 publications

(4 citation statements)

References 7 publications

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“…The assessment and selection processes of the search are shown in Figure 3. The search yielded 13 relevant case reports, as presented in Table 1 [6][7][8][9][10][11][12].…”

Section: Resultsmentioning

confidence: 99%

Interstitial heterotopic pregnancy after bilateral total salpingectomy in IVF patients: a case report and literature review

Sgayer,

Sharon,

Wolf

et al. 2024

Ginekol Pol

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“…The assessment and selection processes of the search are shown in Figure 3. The search yielded 13 relevant case reports, as presented in Table 1 [6][7][8][9][10][11][12].…”

Section: Resultsmentioning

confidence: 99%

Interstitial heterotopic pregnancy after bilateral total salpingectomy in IVF patients: a case report and literature review

Sgayer,

Sharon,

Wolf

et al. 2024

Ginekol Pol

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“…Risk factors for remnant tubal pregnancy include salpingectomy for hydrosalpinx, as such procedures cannot excise the patent corneal and intramural segment of the damaged tube [8]. Transfer depth might be another risk factor for ectopic pregnancy [9].…”

Section: Discussionmentioning

confidence: 99%

“…As tubal pregnancy at an isthmic portion is a rare event, it is clear that the implantation inside a remnant tube is less common [7]. Risk factors for remnant tubal pregnancy include salpingectomy for hydrosalpinx, as such procedures cannot excise the patent corneal and intramural segment of the damaged tube [8]. Transfer depth might be another risk factor for ectopic pregnancy [9].…”

Section: Discussionmentioning

confidence: 99%

Heterotopic triplet pregnancy: report of a patient with remnant tubal ectopic and intrauterine twin pregnancy after frozen‐thawed embryo transfer

Okamura

Arakane

Nagayoshi-Taura

et al. 2011

Reprod Medicine & Biology

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A case of heterotopic triplet pregnancy after frozen-thawed embryo transfer is presented. The patient conceived after transfer of three frozen-thawed embryos at a fertility clinic where she had previously undergone laparoscopic left salpingectomy due to pyosalpinx. Approximately 4 weeks after the embryo transfer, she presented with a complaint of abnormal genital bleeding and was diagnosed by ultrasound as having a dichorionic twin pregnancy. One week later, she was referred to our hospital because of lower abdominal pain. Hematoperitoneum was suspected based on findings of low blood pressure and tachycardia. Diagnostic emergent laparoscopy demonstrated an ectopic pregnancy in the remnant isthmic portion of the left tube. Laparoscopic excision of the remnant fallopian tube was performed, but the procedure resulted in early-pregnancy loss of one of the twins. The risk of heterotopic pregnancy is not small under assisted reproductive technology. Attention should be paid to the risk of tubal pregnancy after transferring more than two embryos or controlled ovarian hyperstimulation, even after salpingectomy has been performed.

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“…Ozgur et al [24] (IVF-ET) Tubal ligation or tuboplasty Free of symptoms (9) Cornual injection of KCl Uterus rupture at 11 weeks Ben-Ami et al [25] (IVF-ET) Bilateral salpingectomy Cornual rupture (7) Laparoscopy Term delivery Blazar et al [26] (IVF-ET) Bilateral salpingectomy Cornual rupture (6) Laparotomy Term delivery Divry et al [27] (IVF-ET) Tubal factor combined with a masculine factor Cornual rupture (6) Laparotomy Preterm birth at 31 weeks Parket al [28] (IVF-ET) Right salpingectomy Free of symptoms (6) Cornual injection of KCl…”

Section: Term Deliverymentioning

confidence: 99%

<b>Successfully Managing Cornual Heterotopic Pregnancies: A Case Report and Literature Review</b>

Chen¹,

Sun²,

Hao³

et al. 2019

Chinese Medical Sciences Journal

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Cornual heterotopic pregnancy is an extremely rare, life-threatening complication during pregnancy. Here, we report on a 33-year-old woman who suffered cornual heterotopic pregnancy after in vitro fertilization embryo transfer. To prevent rupture during heterotopic pregnancy, she received laparoscopic surgery to remove the ectopic gestational sac at 7 +2 weeks of gestation. Ultimately, she delivered a healthy boy at 38 +3 weeks of gestation. Here, we also review the clinical presentations, risk factors, treatment options and outcomes of cornual heterotopic pregnancy.Heterotopic pregnancy (HP) is a pathological pregnancy in which one or more viable embryos implant in the uterus and outside the uterine cavity. [1] Up to 98% of ectopic gestations are located in the fallopian tube. [2] The incidence of HP is approximately between 1/3900 to 1/30 000 in natural pregnancies. [3,4] Cornual heterotopic pregnancy (CHP), where the embryo implants in the lateral angle of the uterine cavity close to the internal ostium of the fallopian tube, is a rare event. [5] With increases in infertility and the wide use of assisted reproduction techniques (ART), the risk of CHP has increased to 1%-3% in some regions. [4,6] Women who have a history of

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Heterotopic pregnancy after bilateral salpingectomy resulting in near-term delivery of a healthy infant

Cited by 11 publications

References 7 publications

Interstitial heterotopic pregnancy after bilateral total salpingectomy in IVF patients: a case report and literature review

Interstitial heterotopic pregnancy after bilateral total salpingectomy in IVF patients: a case report and literature review

Heterotopic triplet pregnancy: report of a patient with remnant tubal ectopic and intrauterine twin pregnancy after frozen‐thawed embryo transfer

<b>Successfully Managing Cornual Heterotopic Pregnancies: A Case Report and Literature Review</b>

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