Open AccessBilateral tubal pregnancies after the termination of intrauterine pregnancy following gamete intrafallopian transfer
Author(s) -
Shibahara Hiroaki,
Suzuki Tatsuya,
Wada Tomoaki,
Ohno Takashi,
Yamauchi Ariko,
Tsunoda Tetsuo,
Takamizawa Satoru,
Sato Ikuo,
Shiraishi Satoshi
Publication year - 2002
Publication title -
reproductive medicine and biology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.005
H-Index - 22
eISSN - 1447-0578
pISSN - 1445-5781
DOI - 10.1046/j.1445-5781.2002.00011.x
Subject(s) - gamete intrafallopian transfer , heterotopic pregnancy , medicine , pregnancy , obstetrics , gynecology , ectopic pregnancy , laparotomy , assisted reproductive technology , abortion , infertility , salpingectomy , surgery , genetics , biology
It is well known that the prevalence of heterotopic pregnancies following assisted reproductive technology (ART) is much higher than among spontaneous pregnancies. Here, we illustrate a very rare case of bilateral simultaneous tubal pregnancies combined with intrauterine pregnancy (incomplete abortion) following gamete intrafallopian transfer (GIFT). In this case, unsuspected bilateral tubal pregnancies were diagnosed when laparotomy was performed 10 days after the termination of an intrauterine pregnancy. We conclude that a careful monitoring after the termination of an intrauterine pregnancy should be performed when the patient has prolonged genital bleeding, which might be a warning signal of heterotopic pregnancy existence even in patients without any risk factors of ectopic pregnancy. (Reprod Med Biol 2002; 1 : 65–67)