RUPTURED CORNUAL HETEROTOPIC PREGNANCY AFTER IN VITRO FERTILIZATION AND EMBRYO TRANSFER: A CASE REPORT

Abstract

Heterotopic pregnancy, characterized by the condition of coexisting intrauterine and extrauterine pregnancy, until recently, was considered to be a rare event occurring once in every 30000 cases. Herein, we report a case of ruptured cornual pregnancy, coexisting intrauterine pregnancy, diagnosed during 11th week of in vitro fertilization IVF pregnancy who was on hemorrhagic shock and successfully managed by cornual repairment and salpingectomy.

Keywords

• In vitro fertilization,coınual heteropic pregnancy embryo transfer

IN VITRO FERTİLİZASYON VE EMBRYO TRANSFERİ SONRASI RUPTURE KORNUAL HETEROTOPİK GEBELİK

Abstract

Heterotropik gebelik, 30 000 vakada bir görülen, ekstrauterin gebeliğin intrauterine gebeliğe eşlik ettiği nadir görülen bir durumdur. Olgumuzda, rupture kornual gebeliğe, intrauterine gebelik eşlik etmektedir. Heterotropik gebelik tanısı, 11.gebelik haftasında ve hemorojik şok tablosunda iken konulmuştur. Tedavisi salfenjektomi ve kornual onarımla başarı ile yapılmıştır.

Keywords

• İn vitro fertilizasyon,kornual heterotopik gebelik embryo transferi

References

1. Duce, M.N., et al., Heterotopic pregnancy: case report. Abdom Imaging 2002. 27(6): 677-9.
2. Fernandez, H. and A. Gervaise, Ectopic pregnancies after infertility treatment: modern diagnosis and therapeutic strategy. Hum Reprod Update 2004. 10(6): 503-13.
3. Tulandi, T. and D. Al-Jaroudi, Interstitial pregnancy: results generated from the Society of Reproductive Surgeons Registry. Obstet Gynecol 2004. 103(1): 47-50.
4. Rock J, T.J., Telinde's Operative Gynecology. 2003, 9th ed. Philadelphia, PA: Lippincott-Raven. .
5. Lau, S. and T. Tulandi, Conservative medical and surgical management of interstitial ectopic pregnancy. Fertil Steril 1999. 72(2): 207-15.
6. Katz, D.L., et al., Combined hysteroscopy and laparoscopy in the treatment of interstitial pregnancy. Am J Obstet Gynecol 2003. 188(4): 1113-4.
7. Advincula, A.P. and S. Senapati, Interstitial pregnancy. Fertil Steril 2004. 82(6): 1660-1.
8. Luo, X., et al., Heterotopic pregnancy following in vitro fertilization and embryo transfer: 12 cases report. Arch Gynecol Obstet 2009. 280(2): 325-9.

9. Tal, J., et al., Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: a literature review from 1971 to 1993. Fertil Steril 1996. 66(1): 1-12.
10. Reece, E.A., et al., Combined intrauterine and extrauterine gestations: a review. Am J Obstet Gynecol 1983. 146(3): 323-30.
11. Poujade, O., G. Ducarme, and D. Luton, Cornual heterotopic pregnancy: a case report. J Med Case Rep 2009. 3: 7233.
12. Fisch, J.D., et al., Medical management of interstitial ectopic pregnancy: a case report and literature review. Hum Reprod 1998. 13(7): 1981-6.
13. Chen, C.L., et al., Successful conservative treatment for advanced interstitial pregnancy. A case report. J Reprod Med 2002. 47(5): 424-6.