Six cases of tubal stump pregnancy: complication of assisted reproductive technology?

Ectopic Pregnancy of the Tubal Stump in ART Patients, Two Case Reports and a Review of the Literature

“…Emphysematous cholecystitis is rare clinical sequelae of acute cholecystitis. A high mortality (15%) was documented in cases of emphysematous cholecystitis [1]. Although computed tomography is the imaging diagnosis of choice, ultrasound is almost always the first initial test ordered.…”

“…Ectopic pregnancy represents a potentially serious medical and surgical condition for women during the reproductive age, with the possibility to evolve in an emergency obstetrical situation caused by the rupture and internal bleeding leading to hypovolemic shock and maternal death during the first trimester of gestation [1,2]. Its reported incidence is around 1.3% to 2% of natural pregnancies [3] and around 1.7% for pregnancies occurring with assisted reproductive technologies (ART), following a recent review performed in the USA [2], and a documented 2.5 to 5-fold increased risk toward spontaneously conceived pregnancies [4].…”

Case of spontaneous tubal stump pregnancy after adnexectomy

“…An EP can be localized at the different pelvic and abdominal locations but the most common site for EP occurrence is the ampullary area of the tubular portion [3] . EP in tubal stump after salpingectomy has been sporadically reported and usually it concerns the patients after ART procedures [2,4,5] . Repeat ectopic pregnancy occurred is observed in up to 8% of women after salpingotomy and in 5% of women after salpingectomy [6] .…”

Live unilateral twin ectopic pregnancy in a fallopian tube remnant after previous ipsilateral salpingectomy

“…Six of these cases were reported by Ko et al in women who had undergone assisted reproductive technologies for problems of secondary infertility. 3 We report a case of a unilateral twin ectopic pregnancy in a fallopian tube remnant after previous ipsilateral salpingectomy. The pregnancy was conceived spontaneously and included two live gestations.…”

“…Just over 20 cases of such an event have been published in the literature in the last 30 years. Six of these cases were reported by Ko et al in women who had undergone assisted reproductive technologies for problems of secondary infertility …”