Ectopic twin pregnancy in cesarean scar after in vitro fertilization/embryo transfer: case report.

Abstract:

OBJECTIVE:To present two cases of ectopic twin pregnancy in a Cesarean section scar following IVF-embryo transfer. DESIGN:Case report. SETTING:Tertiary referral case center. PATIENT(S):Two women who had ectopic twin pregnancy in a Cesarean section scar, in both cases following IVF and embryo transfer. INTERVENTION(S):Three-dimensional power Doppler ultrasound and diagnostic hysteroscopy were performed for early recognition and treatment. MAIN OUTCOME MEASURE(S):Prevention of pregnancy complications such as hemorrhage, uterine rupture, and preservation of fertility. RESULT(S):Case 1: diagnosis was made in a 31-year-old woman after IVF; she was managed with laparotomy excision of the twin pregnancy. Case 2: an early such pregnancy was diagnosed in a 37-year-old woman following IVF. She was treated successfully with hysteroscopy and laparoscopic surgery. CONCLUSION(S):Because ectopic pregnancy in a Cesarean scar carries high risk of uterine rupture and uncontrollable hemorrhage, such a twin pregnancy presumably carries similar risks. Focused application of high-resolution ultrasound and diagnostic hysteroscopy may help lead to early recognition of ectopic twin pregnancy in a Cesarean scar and prevention of complications such as hemorrhage and uterine rupture.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Chueh HY,Cheng PJ,Wang CW,Shaw SW,Lee CL,Soong YK

doi

10.1016/j.fertnstert.2007.11.091

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

2009.e19-21

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(07)04180-5

journal_volume

90

pub_type

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