Coexisting ovarian and tubal pregnancies on opposite sides after intrauterine insemination

A case report

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

Research output: Contribution to journalArticleResearchpeer-review

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.

Original languageEnglish
Article number259
JournalBMC Pregnancy and Childbirth
Volume18
Issue number1
DOIs
StatePublished - 2018 Jun 25

Fingerprint

Tubal Pregnancy
Insemination
Ectopic Pregnancy
Gestational Sac
Salpingectomy
losigame
Assisted Reproductive Techniques
Endometrium
Hematoma
Laparoscopy
Abdominal Pain
Ovarian Pregnancy

Keywords

  • Ectopic pregnancy
  • Laparoscopy
  • Ovarian pregnancy
  • Surgery

Cite this

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title = "Coexisting ovarian and tubal pregnancies on opposite sides after intrauterine insemination: A case report",
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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Coexisting ovarian and tubal pregnancies on opposite sides after intrauterine insemination : A case report. / Eom, Jeong Min; Choi, Joong Sub; Bae, Jaeman; Lee, Won Moo; Lee, Eunhyun; Lee, Jongwon; Keum, Ji Hyun.

In: BMC Pregnancy and Childbirth, Vol. 18, No. 1, 259, 25.06.2018.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Coexisting ovarian and tubal pregnancies on opposite sides after intrauterine insemination

T2 - A case report

AU - Eom, Jeong Min

AU - Choi, Joong Sub

AU - Bae, Jaeman

AU - Lee, Won Moo

AU - Lee, Eunhyun

AU - Lee, Jongwon

AU - Keum, Ji Hyun

PY - 2018/6/25

Y1 - 2018/6/25

N2 - 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.

AB - 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.

KW - Ectopic pregnancy

KW - Laparoscopy

KW - Ovarian pregnancy

KW - Surgery

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