In vitro fertilisation and embryo transfer for bilateral salpingectomies results in a ruptured ovarian ectopic pregnancy due to a tubal stump fistula: a case report and review of the literature

Ectopic pregnancy is a leading cause of maternal mortality. A high index of suspicion of an ectopic pregnancy must be borne in mind, especially when a woman of reproductive age presents to the emergency department with abdominal pain and a positive pregnancy test. An ectopic pregnancy can occur in u...

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Bibliographic Details
Published in:BMJ case reports 2010-04, Vol.2010 (apr27 1), p.bcr0920092291-bcr0920092291
Main Authors: Seshadri, Srividya, Shirley, Paul, Jaiganesh, Thiagarajan, Uchil, Dhiraj, Jolaoso, Adeboye
Format: Article
Language:English
Subjects:
Adult
Communication
Diagnosis, Differential
Embryo Transfer - adverse effects
Embryos
Europe (West)
Female
Fertility
Fertilization in Vitro - adverse effects
Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect
Humans
Laparoscopy
Mortality
Pregnancy
Pregnancy, Ectopic - diagnosis
Pregnancy, Ectopic - etiology
Pregnancy, Ectopic - surgery
Salpingectomy
Surgery
White
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Summary:Ectopic pregnancy is a leading cause of maternal mortality. A high index of suspicion of an ectopic pregnancy must be borne in mind, especially when a woman of reproductive age presents to the emergency department with abdominal pain and a positive pregnancy test. An ectopic pregnancy can occur in unusual sites, particularly when assisted reproductive techniques have been used. Most ectopic pregnancies occur in the fallopian tube (so-called tubal pregnancies), but implantation can also occur in the uterine cornua, cervix, ovaries, and abdomen, including the retroperitoneum. We present only the second reported case of ovarian ectopic pregnancy in a 37-year-old woman following an in vitro fertilisation and embryo transfer for bilateral salpingectomies.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.09.2009.2291