Journals / Ankara Üniversitesi Tıp Fakültesi Mecmuası / 2009 / Cilt: 62 - Sayı: 2

İn vitro fertilizasyondan sonra aynı hastada kombine tübal ve ovaryan ektopik gebelikler

Combined tubal and ovarian ectopic pregnancies in one patient after in vitro fertilization

Pages
83–86
Publication Date
2022-10-10
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The histopathology showed the presence of chorionic villi both in the ovarian tissue and the left fallopian tube.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A case of twin ectopic ovarian-tubal pregnancy located at the same side after an intracytoplasmic sperm injection-embryo transfer cycle is reported.
📊
Key Findings & Data:The case was refered to our clinic for suspected ectopic pregnancy 27 days later the transfer of 3 embryos, with lower abdominal pain.
💡
Conclusion & Impact:The histopathology showed the presence of chorionic villi both in the ovarian tissue and the left fallopian tube.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

A case of twin ectopic ovarian-tubal pregnancy located at the same side after an intracytoplasmic sperm injection-embryo transfer cycle is reported. The case was refered to our clinic for suspected ectopic pregnancy 27 days later the transfer of 3 embryos, with lower abdominal pain. Transvaginal ultrasound scan revealed 17 mm gestational sac with a yolk sac inside and a 15 mm echocomplex ovarian mass at the left adnexa. At laparotomy a ruptured 2 cm ovarian hemorrhagic mass and an unruptured 2 cm fimbrial ectopic pregnancy was found at the left adnexa. A left partial salphengectomy and wedge resection of the left ovary was performed. The histopathology showed the presence of chorionic villi both in the ovarian tissue and the left fallopian tube.

Özet

İntrasitoplazmik sperm enjeksiyonu-embryo transferi siklusundan sonra aynı tarafta gelişen ovaryan- tubal ikiz ektopik gebelik olgusu bildirilmiştir. Vaka, alt kadranlarda karın ağrısı şikayeti ile, 3 embryo transferinden 27 gün sonra ektopik gebelik şüphesi ile kliniğimize refere edildi. Transvajinal ultrasonografide sol adneksiyal alanda içerisinde yolk kesesi bulunan 17 mm gestasyonel kese ve 15 mm eko-kompleks ovaryan kitle tesbit edildi. Laparotomide, sol adnekste 2 cm rüptüre hemorajik ovaryan kitle ve 2 cm intakt fimbrial ektopik gebelik ile uyumlu kitle görüldü. Sol parsiyel salfenjektomi ve sol overe wedge rezeksiyon yapıldı. Histopatoloji incelemede hem over dokusunda hem de fallopi tüpünde koryonik villusların varlığı gösterildi.

🔖

Cite This Article

ÜSTÜN, Y., TÜRKÇÜOĞLU, I., ENGİN, Y. Ü., KIRIMOĞLU, H. (2022). İn vitro fertilizasyondan sonra aynı hastada kombine tübal ve ovaryan ektopik gebelikler. Ankara Üniversitesi Tıp Fakültesi Mecmuası, Cilt: 62 - Sayı: 2, 83–86. https://ajindex.com/articles/443831

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Hage PS, Arnouk IF, Zarou DM, Kim BH, Wehbeh HA. Laparoscopic management of ovarian ectopic pregnancy. J Am Assoc Gynecol Laparosc. 1994 May;1(3):283-5. Review
  2. Abusheikha N, Salha O, Brinsden P. Extrauterine pregnancy following assisted conception treatment. Hum Reprod Update. 2000 Jan-Feb;6(1):80-92. Review
  3. Marcus SF, Brinsden PR. Primary ovarian pregnancy after in vitro fertilization and embryo transfer: report of seven cases. Fertil Steril. 1993 Jul;60(1):167-9
  4. De Ott. A case of unilateral tubal twin gestation. Ann Gynecol Obstet 1891;36:304
  5. Ansari SM, Nessa L, Saha SK. Twin ectopic pregnancy 10 years after permanent sterilization. Australas Radiol. 2000 Feb;44(1):107- 8
  6. Deshpande N, Mathers A, Acharya U. Broad ligament twin pregnancy following in-vitro fertilization. Hum Reprod. 1999 Mar;14(3):852-4
  7. Hanchate V, Garg A, Sheth R, Rao J, Jadhav PJ, Karayil D. Transvaginal sonographic diagnosis of live monochorionic twin ectopic pregnancy. J Clin Ultrasound. 2002 Jan;30(1):52-6
  8. Parker J, Hewson AD, Calder-Mason T, Lai J. Transvaginal ultrasound diagnosis of a live twin tubal ectopic pregnancy. Australas Radiol. 1999 Feb;43(1):95-7
  9. Marret H, Hamamah S, Alonso AM, Pierre F. Case report and review of the literature: primary twin ovarian pregnancy. Hum Reprod. 1997 Aug;12(8):1813-5. Review. 10.Karande VC, Flood JT, Heard N, Veeck L, Muasher SJ. Analysis of ectopic pregnancies resulting from in-vitro fertilization and embryo transfer. Hum Reprod. 1991 Mar; 6(3): 446-9. 11.Einenkel J, Baier D, Horn LC, Alexander H. Laparoscopic therapy of an intact primary ovarian pregnancy with ovarian hyperstimulation syndrome: case report. Hum Reprod. 2000 Sep;15(9):2037-40. 12.Ophir E, Singer-Jordan J, Oettinger M, Odeh M, Tendler R, Feldman Y, Fait V, Bornstein J. Uterine artery embolization for management of interstitial twin ectopic pregnancy: case report. Hum Reprod. 2004 Aug;19(8):1774-7. Epub 2004 Jun 24. 13.Sandvei R, Ulstein M. History and findings in ectopic pregnancies in women with and without an IUD. Contracept Deliv Syst. 1980 Apr;1(2):131-8. 14.Oliveira FG, Abdelmassih V, Costa AL, Balmaceda JP, Abdelmassih S, Abdelmassih R. Rare association of ovarian implantation site for patients with heterotopic and with primary ectopic pregnancies after ICSI and blastocyst transfer. Hum Reprod. 2001 Oct;16(10):2227-9. 15.Gaudoin MR, Coulter KL, Robins AM, Verghese A, Hanretty KP. Is the incidence of ovarian ectopic pregnancy increasing? E