Simultaneous presentation of tubal and primary abdominal pregnancies following clomiphene citrate treatment

被引:3
作者
Baba, Tsuyoshi [1 ]
Endo, Toshiaki [1 ]
Ikeda, Keiko [1 ]
Takenami, Naoko [1 ]
Shimizu, Ayumi [1 ]
Morishita, Miyuki [1 ]
Honnma, Hiroyuki [1 ]
Ikeda, Hideyuki [2 ]
Saito, Tsuyoshi [1 ]
机构
[1] Sapporo Med Univ, Dept Obstet & Gynecol, Sapporo, Hokkaido 0608543, Japan
[2] Rumoi City Hosp, Dept Pathol, Rumoi, Hokkaido 0778511, Japan
关键词
Abdominal pregnancy; Clomiphene citrate; Ectopic pregnancy; Laparoscopic surgery; ECTOPIC PREGNANCY;
D O I
10.1007/s00404-012-2300-z
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Abdominal pregnancy is a rare condition that is potentially life-threatening for the mother. We present a case of simultaneous ectopic pregnancies (EPs) in the right fallopian tube and in the vesicouterine pouch. A 26-year-old woman had undergone prior ovulation induction with clomiphene citrate and human chorionic gonadotropin (hCG) at an outside hospital for unexplained infertility. The patient was referred to our hospital for a suspected ectopic pregnancy at 6 weeks gestation. Transvaginal ultrasonography detected a viable fetus at the anterior left side of the uterus; therefore, we suspected a left tubal pregnancy. However, laparoscopic surgery revealed that EPs were located in both the left vesicouterine pouch and in the right fallopian tube. Resection of the right salpinx and abdominal implant were performed. Histopathological examination confirmed the simultaneous presentation of a primary abdominal pregnancy and a right tubal pregnancy. After surgery, the patient's serum hCG level returned to normal. Concurrent EPs and abdominal pregnancy are very rare. However, it should be noted that reproductive technologies sometimes cause unusual clinical situations. A thorough abdominal inspection is needed.
引用
收藏
页码:395 / 398
页数:4
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