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Bilateral tubal and intrauterine pregnancies diagnosed at laparoscopy
Author(s) -
Fukuda Takanori,
Inoue Hiromi,
Toyama Yuina,
Ichida Tomoyuki,
Uzawa Yoshie,
Monma Mika,
Kusaka Tsuyoshi,
Kohata Yutaka
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12458
Subject(s) - medicine , heterotopic pregnancy , pregnancy , salpingectomy , laparoscopy , gestation , obstetrics , fallopian tube , surgery , ectopic pregnancy , gynecology , genetics , biology
A 32‐year‐old woman had bilateral tubal and intrauterine pregnancies after hyperovulation with clomiphene citrate and subsequent artificial insemination with husband's semen. Laparoscopic surgery revealed bilateral tubal pregnancies. Salpingectomy was performed on the left tube and linear salpingotomy was performed on the right tube. The postoperative course was uneventful. The patient delivered a healthy girl vaginally at 39 weeks' gestation. Only eight cases with bilateral and intrauterine pregnancy have been reported. The live birth rate of bilateral tubal pregnancy and intrauterine pregnancy is 60% (6/10), which is similar to that of heterotopic pregnancy. Laparoscopic surgery is effective for confirming the diagnosis and treating heterotopic pregnancy.