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

Abstract

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.

Ovarian pregnancy after bilateral salpingectomy in a patient with in vitro fertilization: a case report

“…Hsu et al 2 and Seshadri et al 3 suggested that dissecting the fallopian tubes with electrocauterization can cause a reduced blood supply and poor healing at the uterocornual region, which might result in pressure necrosis and then fistula formation after salpingectomy. This situation is likely to have occurred in our case.…”

Ovarian Pregnancy Following in Vitro Fertilization in a Woman After Bilateral Salpingectomy: A Case Report and Review of the Literature

“…Furthermore, an ovarian pregnancy occurring after both tubes have been excised is an extremely rare entity, with only 3 cases reported in the literature (2,3,4). According to a recently published review of unusual ectopic pregnancies (5), ovarian pregnancy is believed to be associated with pelvic inflammatory disease, intrauterine device and previous surgery in the pelvic cavity.…”

Post-salpingectomy interstitial heterotopic pregnancy after in vitro fertilization and embryo transfer: A case report

“…Thus, for patients after tubal sterilization, the possibility of HP should not be neglected even with the presence of live intrauterine pregnancies. Previously reported post-salpingectomy HP cases have been reviewed[ 1 - 9 ]. Four of these cases were diagnosed as interstitial HPs (with three ruptured cases), only one of which reported a live birth of the intrauterine pregnancy after treatment.…”