Management of Ectopic Pregnancy In Unusual Location: Five-Year Experience In A Single Center

Hortu, İsmet; Akman, Levent; Akdemir, Ali; Ergenoğlu, Mete; Yeniel, Özgür; Şendağ, Fatih

doi:10.5799/jcei.343197

Cited by 6 publications

(13 citation statements)

References 30 publications

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“…A rise or fall in serial β-hCG values lower than these values, is suggestive of an ectopic pregnancy. 5 In the present case, an initially rapid rise in β-hCG levels was observed, probably caused by the two sources (both fallopian tubes) of hormone production. This also led to the misinterpretation that this was an intrauterine pregnancy.…”

Section: Discussionsupporting

confidence: 45%

A Rare Case of Bilateral Tubal Ectopic Pregnancy Following Intracytoplasmic Sperm Injection-Embryo Transfer (ICSI-ET)

Acet

Göker

Hortu

et al. 2020

Rev Bras Ginecol Obstet

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Bilateral tubal ectopic pregnancy is a very rare form of ectopic pregnancy. The incidence is higher in women undergoing assisted reproductive techniques or ovulation induction. We report the case of bilateral tubal ectopic pregnancy. The patient was 30 years old and had a 3-year history of infertility; she was referred to the in-vitro fertilization (IVF) program because of tubal factor infertility. A pregnancy resulted from the transfer of two embryos during an artificial cycle. Despite the increase in β-hCG values during the follow-up, 22 days after the embryo transfer, the β-hCG levels were 2,408 U/L and the serum progesterone (P4) level was 10.53 ng/ml. After application with methotrexate, β-hCG levels did not decrease effectively. Moreover, the sonographic screening revealed a suspicious bilateral tubal focus for ectopic pregnancy. A mini-laparotomy was performed and a bilateral tubal pregnancy was found. In the case of unilateral tubal pregnancy after the transfer of two embryos, the situation of the other tube should be systematically checked and β-hCG levels should be monitored.

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Section: Discussionsupporting

confidence: 45%

A Rare Case of Bilateral Tubal Ectopic Pregnancy Following Intracytoplasmic Sperm Injection-Embryo Transfer (ICSI-ET)

Acet

Göker

Hortu

et al. 2020

Rev Bras Ginecol Obstet

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show abstract

“…The incidence of EP has raised in developed countries in the past 30 years 1 . The leading risk factors of EP in women are pelvic inflammatory disease, previous pelvic surgery, tubal infertility, and congenital uterine abnormalities 2,3 . While unilateral tubal pregnancy accounts for 90% of all EPs, bilateral tubal pregnancy (BTP) is considered the most uncommon form 4 .…”

Section: Introductionmentioning

confidence: 99%

A case report of heterochronic presentation of a bilateral tubal pregnancy

Mansouri,

Tarafdari,

Azizi

et al. 2023

Clinical Case Reports

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Key Clinical MessageThis paper highlights that diagnosis and treatment of one ectopic pregnancy does not rule out the happening of a second ectopic pregnancy in the same patient concurrently, especially if the patient has rising β‐hCG and persistent symptoms.AbstractBilateral tubal pregnancy (BTP) is the most uncommon form of tubal ectopic pregnancy. Complications can lead to maternal morbidity and mortality. We reported a case of left tubal pregnancy and the patient underwent laparoscopic salpingostomy. During the follow‐up, the contralateral ectopic pregnancy was discovered and treated with MTX.

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“… 1 , 2 The most common site for an EP is the fallopian tube (tubal EP). 3 , 4 Reports indicate that more than 95% of EPs are detected in the ampulla, fimbrial and isthmic portions of the fallopian tube. 5 The general symptoms of EP include amenorrhea, irregular and light vaginal bleeding and abdominal pain.…”

Section: Introductionmentioning

confidence: 99%

Comparisons of Fertility Outcomes Following a Salpingectomy and a Salpingotomy with or Without Suturing for a Tubal Ectopic Pregnancy

Zhang¹,

Zhao²,

Bai³

et al. 2022

IJWH

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Objective This study aimed to compare fertility outcomes in patients who underwent different laparoscopic surgeries and to determine the most beneficial surgical treatment for tubal ectopic pregnancy (EP) patients who wished to become pregnant in the future. Methods In this retrospective study, patients aged 18–36 years, who had been diagnosed with a tubal EP in our hospital, were enrolled. Based on the treatment methods, the patients were divided into three groups, ie a salpingectomy group, a salpingotomy with suturing group and a salpingotomy without suturing group. The follow-up time for the enrolled patients was more than three years. Serum beta (β)-human chorionic gonadotropin (β-HCG) levels were monitored after surgery. The intrauterine pregnancy (IUP) rate at 12, 24 and 36 months postoperatively, and recurrent EP rate were compared. Results The median time for β-HCG level returning to normal in the salpingectomy group was much shorter than in the salpingotomy with suturing or salpingotomy without suturing groups (P < 0.001). The 12, 24 and 36-month IUP rates among the three groups were not significantly different. A recurrent EP was found in only one patient in the salpingotomy with suturing group and two patients in the salpingotomy without suturing group. Conclusion In this study, we found that salpingectomy and salpingotomy with or without suturing methods reflected no significant differences in fertility outcomes for tubal EP patients.

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Management of Ectopic Pregnancy In Unusual Location: Five-Year Experience In A Single Center

Cited by 6 publications

References 30 publications

A Rare Case of Bilateral Tubal Ectopic Pregnancy Following Intracytoplasmic Sperm Injection-Embryo Transfer (ICSI-ET)

A Rare Case of Bilateral Tubal Ectopic Pregnancy Following Intracytoplasmic Sperm Injection-Embryo Transfer (ICSI-ET)

A case report of heterochronic presentation of a bilateral tubal pregnancy

Comparisons of Fertility Outcomes Following a Salpingectomy and a Salpingotomy with or Without Suturing for a Tubal Ectopic Pregnancy

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