Bilateral tubal and intrauterine pregnancies diagnosed at laparoscopy

A 32‐year‐old woman had bilateral tubal and intrauterine pregnancies after hyperovulation with clomiphene citrate and subsequent artificial insemination with husband's semen. Laparoscopic surgery revealed bilateral tubal pregnancies. Salpingectomy was performed on the left tube and linear salpi...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2014-10, Vol.40 (10), p.2114-2117
Main Authors: Fukuda, Takanori, Inoue, Hiromi, Toyama, Yuina, Ichida, Tomoyuki, Uzawa, Yoshie, Monma, Mika, Kusaka, Tsuyoshi, Kohata, Yutaka
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Adult
bilateral tubal pregnancy
Female
heterotopic pregnancy
Humans
Insemination, Artificial, Homologous - adverse effects
laparoscopic surgery
Laparoscopy - adverse effects
Live Birth
Ovulation Induction - adverse effects
Pregnancy
Pregnancy Trimester, First
Pregnancy, Heterotopic - diagnosis
Pregnancy, Heterotopic - physiopathology
Pregnancy, Heterotopic - surgery
Pregnancy, Tubal - diagnosis
Pregnancy, Tubal - physiopathology
Pregnancy, Tubal - surgery
Prenatal Diagnosis
Prognosis
Salpingectomy - adverse effects
Treatment Outcome
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Summary:A 32‐year‐old woman had bilateral tubal and intrauterine pregnancies after hyperovulation with clomiphene citrate and subsequent artificial insemination with husband's semen. Laparoscopic surgery revealed bilateral tubal pregnancies. Salpingectomy was performed on the left tube and linear salpingotomy was performed on the right tube. The postoperative course was uneventful. The patient delivered a healthy girl vaginally at 39 weeks' gestation. Only eight cases with bilateral and intrauterine pregnancy have been reported. The live birth rate of bilateral tubal pregnancy and intrauterine pregnancy is 60% (6/10), which is similar to that of heterotopic pregnancy. Laparoscopic surgery is effective for confirming the diagnosis and treating heterotopic pregnancy.
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.12458