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Simultaneous Intra‐and Extra‐uterine Pregnancy and Hormone Milieu after Early Luteectomy: Case Report
Author(s) -
Nagae Mitsuyoshi,
Kubota Toshiro,
Oiyama Hiroshi,
Nishimura Susumu,
Yaoi Yoshimasa,
Saito Motoi,
Kumasaka Takahiro
Publication year - 1984
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1984.tb00714.x
Subject(s) - ovulation , medicine , pregnancy , human chorionic gonadotropin , miscarriage , gestation , urinary system , abortion , hormone , progestin , exploratory laparotomy , endocrinology , gynecology , biology , genetics , anatomy
We experienced a very rare case, simultaneous intra‐ and extra‐uterine pregnancy without ovulation induction, and performed left salpingo‐oophorectomy including luteectomy at 7 weeks and 5 days gestation as a treatment after exploratory laparotomy. One week later, spontaneous abortion occurred in of progestin supplement therapy. After the operation, serum progesterone (P), estrogens (E: E 1 , E 2 , E 3 ), luteining hormone (LH), follicle‐stimulating hormone (FSH), and urinary human chorionic gonadotropin (hCG) were measured. Serum P levels were under 7 ng/ml throughout the period studied, and decreased around the abortion. Serum E 2 maintained normal range and dropped more rapidly than P just before the abortion. In contrast LH, FSH and urinary hCG showed relatively high levels after luteectomy and even at miscarriage.