Ectopic pregnancy in left ovary and contralateral uterine tube diagnosed one week
            apart in In Vitro Fertilization with donor eggs: Case report

Trindade, Vanessa Devens; Burmann, Lauren Marquardt; Viegas, D.; Hentschke, Marta Ribeiro; Azambuja, Ricardo; Okada, L.; Petracco, Rafaella; Petracco, Álvaro; Badalotti, Mariangela; Michelon, João

doi:10.5935/1518-0557.20190030

Cited by 5 publications

(6 citation statements)

References 16 publications

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“…ART was observed as a major risk factor in this case, as shown in Supplementary Table S1 . This was consistent with three previous reports (M Sueldo et al, 2014 ; Eom et al, 2018 ; Trindade et al, 2019 ). Among these, M Sueldo et al and Trindade et al reported concurrent OP and TP after the transfer of two fresh embryos, and Eom et al reported a patient who had undergone IUI treatment.…”

Section: Discussionsupporting

confidence: 94%

“…Combined pregnancy is rare and poses early diagnostic challenges. In existing reports, the clinical features of OP and TP patients have been unspecific, thus posing a dilemma for rupture and massive intra-abdominal bleeding with delayed diagnosis ( Trindade et al, 2019 ). Particularly in cases of OP, pre-operative diagnosis is difficult to perform; however, this situation is improving owing to recent advances in ultrasound.…”

Section: Discussionmentioning

confidence: 99%

“…It is even rarer for it to co-occur with tubal ectopic pregnancy (TP). To the best of our knowledge, only a few such cases have been reported (M Sueldo et al, 2014 ; Eom et al, 2018 ; Trindade et al, 2019 ).…”

Section: Introductionmentioning

confidence: 98%

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

Huang

Liu

et al. 2022

Front. Physiol.

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Ovarian pregnancy (OP) coupled with tubal ectopic pregnancy is rare. We present a case of coexistent ovarian and tubal ectopic pregnancies in the same adnexa resulting from in vitro fertilization and embryo transfer (IVF-ET) for tubal occlusion. The patient presented with mild vaginal bleeding without abdominal pain. OP was diagnosed via sonographic findings of an ectopic gestational sac (GS) and yolk sac that seemed to be inside her left ovary. Laparoscopic exploration confirmed this diagnosis, and ipsilateral tubal ectopic pregnancy was suspected during surgery. The patient underwent left salpingectomy and resection of the ovarian lesion. A subsequent histopathological examination verified the diagnosis of coexistent ovarian and tubal ectopic pregnancy. Though the mechanism underlying concurrent OP and tubal ectopic pregnancy is still unclear, clinicians should be cautious of potential combined ectopic pregnancy when dealing with patients who have received more than one embryo transfer.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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

Huang

Liu

et al. 2022

Front. Physiol.

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“…Pregnancy was confirmed by HCG concentrations in 50%, unknown in 43%, but negative in 2 cases (2%). (19,20) Rare cases were one woman with a bilateral ovarian pregnancy (21), another with a left ovarian pregnancy diagnosed 3 weeks after left salpingectomy for tubal pregnancy after ovulation induction (22), 2 women with a tubal pregnancy and an ovarian pregnancy on the other side (23,24) and 6 ovarian pregnancies associated with an intrauterine pregnancy (heterotopic pregnancy), 2 of them spontaneously (25,26), 1 after ovulation induction ( 27), 1 after IUI (28) and 2 with IVF (14,29). In 5 of them, the intrauterine pregnancies continued uneventfully after the excision of the ovarian pregnancy.…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

Ovarian Pregnancy: A Systematic Review and 2 Case Reports

Almahloul¹,

Amro²,

Nagshabandi³

et al. 2022

Preprint

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Objective Ovarian pregnancy is a rare but well-known pathology. However, pathophysiology, diagnosis and treatment are not clearly established. Data sources. All case reports published in Pubmed from Nov 2011 till Nov 2022. Study eligibility criteria. A systematic review and 2 case reports of ovarian pregnancy Study appraisal and synthesis methods. Not applicable Results Ovarian pregnancies occur in 8% of women without or blocked oviducts and in 23% on the other side than the corpus luteum and the symptoms of ovarian pregnancies are not specific. Therefore ovarian pregnancy has to be suspected in all women with abdominal bleeding. As for extrauterine pregnancies, the presence of an intrauterine pregnancy does not rule out an ovarian pregnancy. Surgical excision is the preferred treatment. Important is that in women with both an intra-uterine and an ovarian pregnancy, care should be taken not to damage the corpus luteum. Conclusions Ovarian pregnancies can occur in women with blocked tubes, on the other side of the corpus luteum, in the presence of an intrauterine pregnancy, and even when pregnancy tests or tranvaginal ultrasonography are negative. The diagnosis being difficult to exclude, a laparoscopy is indicated in all women with intra-abdominal bleeding, keeping in mind that an intra-uterine pregnancy cannot be exluded and that a corpus luteum need to be respected.

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“…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%

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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Ectopic pregnancy in left ovary and contralateral uterine tube diagnosed one week apart in In Vitro Fertilization with donor eggs: Case report

Cited by 5 publications

References 16 publications

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

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

Ovarian Pregnancy: A Systematic Review and 2 Case Reports

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

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