Concurrent Ovarian and Tubal Ectopic Pregnancy After IVF-ET: Case Report and Literature Review

Huang, Yating; Huang, Qin; Liu, Jinglan; Guo, Mingxiao; Liu, Yuan; Lai, Dongmei

doi:10.3389/fphys.2022.850180

Cited by 6 publications

(5 citation statements)

References 36 publications

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“…Although the rate of dual ovarian and tubal ectopic pregnancies is unknown, we can infer these cases likely occur even more infrequently than ovarian pregnancies with rates of 0.5%–3.2%, 1 and spontaneous bilateral tubal pregnancies with rates of 0.06%–0.14% of all ectopic pregnancies 2 . Previous reports of dual ovarian and tubal ectopic pregnancies in the literature are rare, and most case reports described their occurrence following ovarian induction 3–7 . Risk factors for extrauterine pregnancies include previous ectopic pregnancy, history of surgical manipulation of the tubes, genital infections, infertility and assisted reproductive technology (ART) 8,9 .…”

Section: Discussionmentioning

confidence: 96%

“…2 Previous reports of dual ovarian and tubal ectopic pregnancies in the literature are rare, and most case reports described their occurrence following ovarian induction. [3][4][5][6][7] Risk factors for extrauterine pregnancies include previous ectopic pregnancy, history of surgical manipulation of the tubes, genital infections, infertility and assisted reproductive technology (ART). 8,9 Our patient had no history of ovulatory stimulation and only reported a remote history of chlamydia infection.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous dual ectopic pregnancies in the ipsilateral fallopian tube and ovary: A case report and literature review

Young,

Carter,

Colletta

2024

Repro Female Child Health

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BackgroundConcurrent ectopic pregnancies in differing anatomical locations are a rarity. It is imperative to be able to identify these cases as extrauterine pregnancies require emergent evaluation and treatment.CaseWe describe a case of suspected ruptured ectopic pregnancy in a low‐risk multiparous female found to have ipsilateral ovarian and tubal ectopic pregnancies on laparoscopy and subsequent pathology.ConclusionAlthough the co‐occurrence of these pregnancies presented as a diagnostic challenge, preoperative ultrasound imaging increased our suspicion in conjunction with laparoscopic findings. Thorough examination of the uterus and bilateral adnexa during laparoscopy is essential in identifying pathology and reducing morbidity. Furthermore, sampling or removal of suspicious concomitant lesions may aid in diagnosis. Following beta HCG trends may provide additional information in patients with unclear findings on laparoscopy.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Spontaneous dual ectopic pregnancies in the ipsilateral fallopian tube and ovary: A case report and literature review

Young,

Carter,

Colletta

2024

Repro Female Child Health

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“…Although ovarian pregnancies in the second ( Hwang et al, 2020 ) or even third trimester of pregnancy ( Prabhala et al, 2015 ) have been reported, most ovarian pregnancies are found in the first trimester ( Thanasa et al, 2022 ; Huang et al, 2022 ). Most of the patients were treated because of abdominal pain or intraperitoneal hemorrhage secondary to ovarian pregnancy rupture.…”

Section: Discussionmentioning

confidence: 99%

Unruptured ovarian ectopic pregnancy: Two case reports and literature review

Ren

Liu²,

Wang³

et al. 2022

Front. Physiol.

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In clinical practice, ovarian pregnancy is extremely rare and is always found to be ruptured. A definitive diagnosis for ruptured ovarian pregnancy is difficult to obtain. We present two cases of unruptured ovarian pregnancies detected during laparoscopy and review existing literature to better understand the clinical characteristics of ectopic pregnancies in this rare site. Intrauterine devices, assisted reproductive technology, and intrauterine operations are all high-risk factors in ovarian pregnancy. Moreover, menopause, abdominal pain, and vaginal bleeding are clinical manifestations. Ovarian pregnancy can be diagnosed using serum hCG, transvaginal ultrasound, and magnetic resonance imaging. Laparoscopy is the treatment of choice for ovarian pregnancy. It is recommended that the intact gestational sac be excised and the ovarian function be protected to the greatest extent possible during the operation. More definitive diagnosis of ovarian pregnancy must be reported in order to gain a better understanding of ovarian pregnancy.

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“…[9] In addition, the use of ovulation-inducing drugs and ovarian stimulation increases uterine contractility and embryo sac migration to the fallopian tube and ovary. [10] 4. Diagnosis…”

Section: In Vitro Fertilization-embryo Transfermentioning

confidence: 99%

Ruptured primary ovarian pregnancy: A case report with a literature review

Qing,

Xie,

Zhang

et al. 2024

Medicine

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Rationale: Ovarian pregnancy is a rare form of ectopic pregnancy, accounting for 0.5% to 3% of the total number of ectopic pregnancies. Its diagnostic rate is very low and it can be easily misdiagnosed before laparoscopy, due to the clinical presentation being very similar to tubal pregnancy. The ovarian blood supply is abundant, and in case of rupture of ovarian pregnancy, intra-abdominal hemorrhage or even hemorrhagic shock may occur, endangering the patient’s life. We report a case of ruptured primary ovarian pregnancy through natural conception. Patient concerns: This patient had a history of menopause with lower abdominal pain and tenderness. Ultrasound showed a thick-walled cystic echo in the left adnexal region, a dark area of fluid in the pelvis, and an irregular, slightly strong echo posterior to the uterus. Unclotted blood was punctured from the posterior fornix, and her hemoglobin was decreasing with a serum β-human chorionic gonadotropin of 1800.00 mIU/mL. Diagnoses: Through early recognition of clinical manifestations, ultrasonography, laparoscopic exploration, and the final histopathologic examination, this patient was diagnosed with an ovarian pregnancy. Interventions: Then, removal of the left ovarian pregnancy lesion was performed, which was visible as villi. And Methotrexate 50 mg was administered locally. Outcomes: Through conservative surgical treatment, she recovered well and was discharged with a satisfactory follow-up. Lessons: Gynecologists should be alert to patients with menopausal lower abdominal pain with or without vaginal bleeding and consider ectopic pregnancy in rare sites, such as ovarian pregnancy. Surgery is the mainstay of treatment, and early laparoscopic exploration may be beneficial in clarifying the diagnosis and performing the concurrent surgical treatment.

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Concurrent Ovarian and Tubal Ectopic Pregnancy After IVF-ET: Case Report and Literature Review

Cited by 6 publications

References 36 publications

Spontaneous dual ectopic pregnancies in the ipsilateral fallopian tube and ovary: A case report and literature review

Spontaneous dual ectopic pregnancies in the ipsilateral fallopian tube and ovary: A case report and literature review

Unruptured ovarian ectopic pregnancy: Two case reports and literature review

Ruptured primary ovarian pregnancy: A case report with a literature review

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