Case Report

Combined Tubal And Ovarian Ectopic Pregnancies In One Patient After In Vitro Fertilization

  • Yusuf Üstün
  • Yaprak Engin Üstün
  • Hale Kırımlıoğlu
  • Ilgın Türkçüoğlu

Received Date: 12.08.2009 Accepted Date: 05.10.2009 J Ankara Univ Fac Med 2009;62(2):83-86

A case of twin ectopic ovarian-tubal pregnancy located at the same side after an intracytoplasmic sperm injection-embryo transfer cycle is reported. The case was refered to our clinic for suspected ectopic pregnancy 27 days later the transfer of 3 embryos, with lower abdominal pain. Trans-vaginal ultrasound scan revealed 17 mm gestational sac with a yolk sac inside and a 15 mm echo-complex ovarian mass at the left adnexa. At laparotomy a ruptured 2 cm ovarian hemorrhagic mass and an unruptured 2 cm fimbrial ectopic pregnancy was found at the left adnexa. A left partial salphengectomy and wedge resection of the left ovary was performed. The histopathol-ogy showed the presence of chorionic villi both in the ovarian tissue and the left fallopian tube.

Keywords: IVF, Ectopic Pregnancy, Tubal, Ovarian