Ovarian pregnancy resulting from cornual fistulae in a woman who had undergone bilateral salpingectomy.

Abstract:

OBJECTIVE:To report a case of ovarian pregnancy following in vitro fertilization-embryo transfer (IVF-ET) treatment for which the cornual fistulae was the most probable explanation of the cause. DESIGN:Case report. SETTING:University department and assisted reproduction unit. PATIENT(S):A 29-year-old woman with primary infertility. INTERVENTION(S):Hydrosalpinx of the bilateral fallopian tubes has been noted in patients who have decreased pregnancy rates in the IVF-ET treatment cycles. Salpingectomy before IVF cycles has been suggested to increase the pregnancy rate. We report a patient who presented with bilateral hydrosalpinx for whom bilateral salpingectomy was performed before IVF treatment. MAIN OUTCOME MEASURE(S):Clinical pregnancy. RESULT(S):The treatment cycle resulted in a primary ovarian pregnancy and required laparoscopic operation. A cornual fistulae was found that have might led to ectopic implantation of the embryos. CONCLUSION(S):Ovarian pregnancy may be an unexpected complication of those receiving bilateral salpingectomy before IVF treatment. The presence of cornual fistulae after salpingectomy was probably the cause of the ectopic pregnancy.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Hsu CC,Yang TT,Hsu CT

doi

10.1016/j.fertnstert.2004.06.054

keywords:

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

205-7

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(04)02616-0

journal_volume

83

pub_type

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