International Journal of
Reproductive Biomedicine
Thu, Apr 25, 2024
[Archive]
Volume 12, Issue 2 (2-2014)
IJRM 2014, 12(2): 155-158 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Jamilian M. Bilateral tubal ectopic pregnancy following intra uterine insemination (IUI): A case report. IJRM 2014; 12 (2) :155-158
URL: http://ijrm.ir/article-1-504-en.html
URL: http://ijrm.ir/article-1-504-en.html
Department of Obstetrics and Gynecology, Arak University of Medical Sciences, Arak, Iran , Mjamilian@yahoo.com
Abstract: (2391 Views)
Background: The incidence of ectopic pregnancy varies between 1.5-2% of all pregnancies. Bilateral tubal ectopic pregnancy is rare. It may occur in 1 per 200 000 pregnancies.
Case: This is a case report of 25 year-old woman who underwent intra uterine insemination (IUI), because of tubal factor infertility (unilateral). On the 30th day after the IUI she complained from pelvic pain and vaginal bleeding. Pelvic ultrasound showed bilateral tubal ectopic pregnancy with fluid in Douglas Pouch and empty uterine cavity. Exploratory laparotomy, left salpingectomy, and right salpingostomy were performed on the same day of admission.
Conclusion: The above case suggests that cases presenting with infertility and ectopic pregnancy should be followed very closely with β-hCG and or Trans Vaginal Sonography (TVS) to exclude double ectopic. So, as in this case, early diagnosis is essential for prevention of maternal morbidity and mortality.
Case: This is a case report of 25 year-old woman who underwent intra uterine insemination (IUI), because of tubal factor infertility (unilateral). On the 30th day after the IUI she complained from pelvic pain and vaginal bleeding. Pelvic ultrasound showed bilateral tubal ectopic pregnancy with fluid in Douglas Pouch and empty uterine cavity. Exploratory laparotomy, left salpingectomy, and right salpingostomy were performed on the same day of admission.
Conclusion: The above case suggests that cases presenting with infertility and ectopic pregnancy should be followed very closely with β-hCG and or Trans Vaginal Sonography (TVS) to exclude double ectopic. So, as in this case, early diagnosis is essential for prevention of maternal morbidity and mortality.
Type of Study: Original Article |
References
1. De Los Ríos JF, Castaneda JD, Miryam A. Bilateral ectopic pregnancy. J Minim Invasive Gynecol 2007; 14: 419-427. [DOI:10.1016/j.jmig.2007.01.011]
2. Stabile I, Grudzinskas JG. Ectopic pregnancy: a review of incidence, etiology and diagnostic aspects. Obstet Gynecol Surv 1990; 45: 335-347. [DOI:10.1097/00006254-199006000-00001]
3. Jønler M, Rasmussen KL, Lundorff P. Coexistence of bilateral tubal and intrauterine pregnancy. Acta Obstet Gynecol Scand 1995; 74: 750-752. [DOI:10.3109/00016349509021188]
4. Boivin J, Bunting L, Collins JA. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Hum Reprod 2007; 22: 1506-1512. [DOI:10.1093/humrep/dem046]
5. Musarrat J, Babar A, Jakimiuk J. Bilateral ectopic pregnancy following ovulation induction. JPM 2010; 24: 160-162.
6. Tadeusz I, Wojciech G, Attur J. Bilateral ectopic tubal pregnancy, following in vitro fertilization (IVF). Folia Histochemica et Cytobiologica 2009; 47: 147-148.
7. Yarali H, Bukulmez O, Gurgan T. Combined bilateral and intrauterine pregnancy following ovulation with the low-dose step-up protocol in a patient with polycystic ovary syndrome. Arch Gynecol Obstet 2000; 264: 37-38. [DOI:10.1007/PL00007483]
8. Burgos-San Cristobal DJ, Agirregoikoa JA, Albisu M. Simultaneous bilateral ectopic pregnancy after IUI. Rev Iberoam Fertile Reprod Hum 2004; 21: 349-353.
9. Sergent F, Verspyck E, Marpeau L. Management of ectopic pregnancies complicating in vitro fertilization: a remarkable case of bilateral ectopic pregnancy with independent courses of the pregnancies. J Gynecol Obstet Biol Reproad 2003; 32: 256-260.
10. Mock P, Olivennes F, Doumer S, Frydman R, Fernandez H. Simultaneous bilateral tubal pregnancy after intracytoplasmic sperm injection treated by conservative medical treatment. Interest of sonographic follow-up. Eur J Obstet Gynecol Reprod Biol 2001; 94: 55-157. [DOI:10.1016/S0301-2115(00)00315-8]
11. Stabile I, Grudzinskas JG. Ectopic pregnancy: areview of incidence, etiology, and diagnostic aspects. Obstet Gynecol Surv 1990; 45: 335-347. [DOI:10.1097/00006254-199006000-00001]
12. Merviel P, Heraud MH, Grenier N. predictive factors for pregnancy after intrauterine insemination (IUI): an analysis of 1083 cycles and a review of the literature. Fertil Steril 2010; 93: 79-88. [DOI:10.1016/j.fertnstert.2008.09.058]
13. Rizk B, Morcos S, Avery S, Elder K, Brinsden P, Mason B, et al. Rare ectopic pregnancies after in vitro fertilization, one unilateral twin and four bilateral tubal pregnancies. Hum Reprod 1990; 5: 1025-1028. [DOI:10.1093/oxfordjournals.humrep.a137211]
14. Rizk B. Rare ectopic pregnancies after in vitro fertilization: One unilateral and four bilateral tubal pregnancies. Hum Reprod 1990; 5: 1025-1028. [DOI:10.1093/oxfordjournals.humrep.a137211]
15. Zouves C, Erenus M, Gomel V. Tubal ectopic pregnancy after in vitro fertilization and embryo transfer: a role for proximal occlusion or salpingectomy after failed distal tubal surgery. Fertil Steril 1991; 56: 691-695. [DOI:10.1016/S0015-0282(16)54601-9]
16. Abramovici D. Bilateral ectopic pregnancy. A case report. J Kent Med Assoc 1995; 93: 295.
17. Adair CD. Bilateral tubal ectopic pregnancies after bilateral partial salpingectomy. A case report. J Reprod Med 1994; 39: 131-133.
18. Kahraman S. Simultaneous bilateral tubal pregnancy after intracytoplasmic sperm injection. Hum Reprod 1995; 10: 3320-3321. [DOI:10.1093/oxfordjournals.humrep.a135911]
19. Messore M. Spontaneous left tubal and right interstitial pregnancy: A case report. J Reprod Med 1997; 42: 445-447.
20. al-Awwad MM, al Daham N, Eseet JS. Spontaneous unruptured bilateral ectopic pregnancy: conservative tubal surgery. Obstet Gynecol Surv 1999; 54: 543-544. [DOI:10.1097/00006254-199909000-00001]
21. Mathew M, Saquib S, Krolikwski A. Simultaneous bilateral tube pregnancy after ovulation induction with clomiphene citrate. Saudi Med J 2004; 25: 2058-2059.
22. Bulletti C, Panazini, Borini A. Pelvic factor infertility: diagnosis and prognosis of various procedures. Ann N Y Acad Sci 2008; 1127: 73-82. [DOI:10.1196/annals.1434.020]
23. Kansaria J, Chauhan A, Mayadeo N. An unusual case of bilateral tubal ectopical pregnancy. Bombay Hospital J 2002; 4: 44-47.
24. Steptoe PC, Edwards RG. Reimplantation of a human embryo with subsequent tubal pregnancy. Lancet 1976; 1: 880-882. [DOI:10.1016/S0140-6736(76)92096-1]
25. Ghaffari F, EftekhariYazdi P, Kiani K. A case report of bilateral tubal ectopic pregnancy following day 5 embryo transfer. Arch Med Sci 2011; 7: 1087-1088. [DOI:10.5114/aoms.2011.26626]
26. Issat T, Grzybowski W, Jakimiuk AJ. Bilateral ectopic tubal pregnancy, following in vitro fertilisation (IVF). Folia Histochemica et cytobiologica 2009; 47: 147-148.
27. A-QuraanGA, Al-Taani MI, Nusair BM, El-Masri A, Arafat MR, Khateeb MM. Spontaneous ruptured and intact bilateral tubal ectopic pregnancy. East Med Health J 2007; 13: 972-974.
28. Mardesic T, Muller P, Huttelova R. Effect of salpingectomy on the results or IVF in women with tubal sterility-progressive study. Ceska Gynekol 2001; 66: 259-264.
29. Sepilian V, Wood E. The challenge of ectopic pregnancy. J Nurse Pract 2006; 2: 583-592. [DOI:10.1016/j.nurpra.2006.08.001]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
