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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Case report

Coexisting ovarian and tubal pregnancies on opposite sides after intrauterine insemination: a case report

Authors: Jeong Min Eom, Joong Sub Choi, Jaeman Bae, Won Moo Lee, Eunhyun Lee, Jongwon Lee, Ji Hyun Keum

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

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Abstract

Background

Ovarian pregnancy is very rare, and contralateral tubal pregnancy coexisting with ovarian pregnancy must be even rarer.

Case presentation

A 33-year-old Korean nulliparous woman was referred to our hospital because she suffered lower abdominal pain and had missed her periods after controlled ovarian hyperstimulation and intrauterine insemination. We could not identify any normal gestational sac in the endometrium, or specific ectopic pregnancies, on an initial ultrasound scan. However, there was a large hematoma in the cul-de-sac and free fluid in the right paracolic gutter. We decided to perform emergent laparoscopic surgery. We found contralateral tubal and ovarian ectopic pregnancies.

Conclusion

To the best of our knowledge, this is the first report of a case in which a patient underwent laparoscopic right salpingectomy and left ovarian ectopic mass excision due to contralateral tubal and ovarian ectopic pregnancies after assisted reproductive technology.
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Literature
1.
Eom JM, Choi JS, Ko JH, Lee JH, Park SH, Hong JH, et al. Surgical and obstetric outcomes of laparoscopic management for women with heterotopic pregnancy. J Obstet Gynaecol Res. 2013;39:1580–6.CrossRefPubMed
2.
Agdi M, Tulandi T. Surgical treatment of ectopic pregnancy. Best Pract Res Clin Obstet Gynaecol. 2009;23:519–27.CrossRefPubMed
3.
4.
5.
De Los Rios JF, Castaneda JD, Miryam A. Bilateral ectopic pregnancy. J Minim Invasive Gynecol. 2007;14:419–27.CrossRefPubMed
6.
Jonler M, Rasmussen KL, Lundorff P. Coexistence of bilateral tubal and intrauterine pregnancy. Acta Obstet Gynecol Scand. 1995;74:750–2.CrossRefPubMed
7.
Salama S, Nizard J, Camus E, Ville Y. Spontaneous haemoperitoneum after the second trimester of pregnancy. Diagnosis and management. Eur J Obstet Gynecol Reprod Biol. 2009;142:82–3.CrossRefPubMed
8.
Giulini S, Zanin R, Volpe A. Hemoperitoneum in pregnancy from a ruptured varix of broad ligament. Arch Gynecol Obstet. 2010;282:459–61.CrossRefPubMed
9.
Hallatt JG. Primary ovarian pregnancy: a report of twenty-five cases. Am J Obstet Gynecol. 1982;143:55–60.CrossRefPubMed
10.
Ziel HK, Paulson RJ. Contralateral corpus luteum in ectopic pregnancy: what does it tell us about ovum pickup? Fertil Steril. 2002;77:850–1.CrossRefPubMed
11.
Odejinmi F, Rizzuto MI, Macrae R, Olowu O, Diagnosis HM. Laparoscopic management of 12 consecutive cases of ovarian pregnancy and review of literature. J Minim Invasive Gynecol. 2009;16:354–9.CrossRefPubMed
12.
13.
Raziel A, Schachter M, Mordechai E, Friedler S, Panski M, Ron-El R. Ovarian pregnancy-a 12-year experience of 19 cases in one institution. Eur J Obstet Gynecol Reprod Biol. 2004;114:92–6.CrossRefPubMed
14.
Kraemer B, Kraemer E, Guengoer E, Juhasz-Boess I, Solomayer EF, Wallwiener D, et al. Ovarian ectopic pregnancy: diagnosis, treatment, correlation to Carnegie stage 16 and review based on a clinical case. Fertility and sterility. 2009;92:392.e13–5.CrossRef
15.
Comstock C, Huston K, Lee W. The ultrasonographic appearance of ovarian ectopic pregnancies. Obstet Gynecol. 2005;105:42–5.CrossRefPubMed
16.
Condous G, Kirk E, Lu C, Van Huffel S, Gevaert O, De Moor B, et al. Diagnostic accuracy of varying discriminatory zones for the prediction of ectopic pregnancy in women with a pregnancy of unknown location. Ultrasound Obstet Gynecol. 2005;26:770–5.CrossRefPubMed
Metadata
Title
Coexisting ovarian and tubal pregnancies on opposite sides after intrauterine insemination: a case report
Authors
Jeong Min Eom
Joong Sub Choi
Jaeman Bae
Won Moo Lee
Eunhyun Lee
Jongwon Lee
Ji Hyun Keum
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-1801-6

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