Abstract
We report a case of a twin ectopic pregnancy EP after in vitro fertilization and embryo transfer IVF-ET. A 24-year-old nulligravida presented with lower abdominal pain and vaginal bleeding 4 weeks after embryo transfer. Serum β-HCG levels were 40 IU/mL, 90 IU/mL, and 1970 IU/mL on ET days 12, 14, and 23, respectively. Ultrasound examination revealed two ectopic gestational sacs with fetal heart beats in the left adnexa, without evidence of intrauterine pregnancy. At laparoscopy, one isthmic and another ampullary sac were detected in the left tube and left salpingectomy was performed. The patient was discharged healthy on postoperative day 2. Albeit extremely rare, ectopic pregnancies with abnormal presentation can be encountered following IVF-ET. Single embryo transfer may be advised to protect from ectopic pregnancies after IVF-ET.
Original language | English |
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Pages (from-to) | 122-124 |
Number of pages | 3 |
Journal | Human Fertility |
Volume | 12 |
Issue number | 2 |
DOIs | |
Publication status | E-pub ahead of print - 21 Jul 2009 |
Keywords
- HCG
- IVF-ET
- Twin ectopic pregnancy
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology