An unexpected quadruplet heterotopic pregnancy after bilateral salpingectomy and replacement of three embryos
- Resource Type
- journal article
- Authors
- Chang, Yu; Lee, Jau Nan; Yang, Cheng Hui; Hsu, Shih Cheng; Tsai, Eing Mei
- Source
- Fertility & Sterility. Jul2003, Vol. 80 Issue 1, p218-220. 3p.
- Subject
- *PREGNANCY
*FALLOPIAN tube radiography
*ECTOPIC pregnancy
*EMBRYO transfer
*FERTILIZATION in vitro
*FETAL ultrasonic imaging
*EVALUATION of medical care
*MULTIPLE birth
*MULTIPLE pregnancy
*TWINS
- Language
- ISSN
- 0015-0282
: ObjectiveTo report a case of combined intrauterine and interstitial twin pregnancies after bilateral salpingectomy and IVF with replacement of three embryos.: DesignCase report.: SettingUniversity hospital.: Patient(s)A 31-year-old woman known to have bilateral salpingectomy for ectopic pregnancies who underwent IVF.: Intervention(s)Laparotomy.: Main outcome measure(s)Postoperation intrauterine monozygotic twins survival and birth.: Result(s)After removing the interstitial monozygotic twin pregnancy, the patient had an uneventful postoperative course and delivered two healthy girls by cesarean section at 38 weeks’ gestation.: Conclusion(s)Heterotopic pregnancy can still occur in women treated by IVF after bilateral salpingectomy. The early sonography follow-up of IVF pregnancy would be of value because of the reported higher incidence of pathological pregnancies and especially monozygotic twinning. [Copyright &y& Elsevier]