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

• Published in: JBRA 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
• Language: English
• 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
• DOI: 10.5935/1518-0557.20190030
• ISSN: 1518-0557; 1517-5693

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.