Ectopic pregnancy in left ovary and contralateral uterine tube diagnosed one week apart in In Vitro Fertilization with donor eggs: Case report

Bilateral ectopic pregnancy is a rare clinical condition with an estimated prevalence of 1/200 000 in spontaneous pregnancies. Studies have found that In Vitro Fertilization (IVF) is related to ectopic pregnancy independently, but the incidence of tubal disease in the donor egg recipient population...

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Published inJBRA assisted reproduction Vol. 23; no. 4; pp. 439 - 441
Main Authors Trindade, Vanessa Devens, Burmann, Lauren, Viégas, Dieny, Hentschke, Marta Ribeiro, Azambuja, Ricardo, Okada, Lilian, Petracco, Rafaella Gehm, Petracco, Alvaro, Badalotti, Mariangela, Michelon, João da Rosa
Format Journal Article
LanguageEnglish
Published Brazil Sociedade Brasileira de Reprodução Humana (Brazilian Society of Assisted Reproduction) 2019
Brazilian Society of Assisted Reproduction
Subjects
Abdomen
Abdominal surgery
Case Report
Case reports
Eggs
Embryos
Fertility
In vitro fertilization
Infertility
Inflammatory diseases
Laparoscopy
Medical diagnosis
Population
Pregnancy
Pregnancy complications
Reproductive technologies
Ultrasonic imaging
Brazil
Rio Grande do Sul Brazil
Belgium
United States > US
laparoscopy
case report
fertilization in vitro
infertility
pregnancy, ectopic
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Summary:Bilateral ectopic pregnancy is a rare clinical condition with an estimated prevalence of 1/200 000 in spontaneous pregnancies. Studies have found that In Vitro Fertilization (IVF) is related to ectopic pregnancy independently, but the incidence of tubal disease in the donor egg recipient population is thought to be significantly lower than in the standard IVF population. We report the case of a patient participating in the egg-sharing program, who was diagnosed with ovarian ectopic pregnancy, treated with surgery. After one week, she was diagnosed with tubal ectopic pregnancy in the contralateral tube. The clinician should be aware that the treatment of one ectopic pregnancy does not preclude the occurrence of a second ectopic pregnancy in the same patient and should pay attention to the intra-operatory inspection of both side fallopian tubes in any ectopic pregnancy case. Routine ultrasound after ectopic pregnancy treatment may be reasonable, especially in high risk patients.
ISSN:1518-0557
1517-5693
1518-0557
DOI:10.5935/1518-0557.20190030