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Heterotopic abdominal pregnancy treated at laparoscopy.

Abstract：

OBJECTIVE:To report a case of laparoscopic treatment of a heterotopic primary abdominal pregnancy after IVF with preservation of the concurrent intrauterine pregnancy. DESIGN:Case report. SETTING:University-based IVF program. PATIENT(S):A woman with a heterotopic abdominal pregnancy after IVF-ET. INTERVENTION(S):Pituitary down-regulation with luteal leuprolide acetate, ovulation induction with menotropins, IVF-ET, progesterone in oil for luteal support, laparoscopy, and resection of the abdominal gestation. MAIN OUTCOME MEASURE(S):Human chorionic gonadotropin levels, pelvic ultrasound examinations, and laparoscopic and pathologic findings. RESULT(S):A heterotopic abdominal pregnancy occurred after IVF-ET and was treated successfully with laparoscopy. The concurrent intrauterine pregnancy was delivered at term. CONCLUSION(S):Early diagnosis of an ectopic abdominal pregnancy allowed successful laparoscopic treatment, without sequelae to the intrauterine gestation.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Pisarska MD,Casson PR,Moise KJ Jr,DiMaio DJ,Buster JE,Carson SA

doi

10.1016/s0015-0282(98)00104-6

subject

Has Abstract

pub_date

1998-07-01 00:00:00

pages

159-60

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(98)00104-6

journal_volume

70

pub_type

杂志文章

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