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Simultaneous presentation of tubal and primary abdominal pregnancies following clomiphene citrate treatment.

Authors
  • Baba, Tsuyoshi1
  • Endo, Toshiaki
  • Ikeda, Keiko
  • Takenami, Naoko
  • Shimizu, Ayumi
  • Morishita, Miyuki
  • Honnma, Hiroyuki
  • Ikeda, Hideyuki
  • Saito, Tsuyoshi
  • 1 Department of Obstetrics and Gynecology, Sapporo Medical University, South 1 West 16, Sapporo, Hokkaido 060-8543, Japan. [email protected] , (Japan)
Type
Published Article
Journal
Archives of gynecology and obstetrics
Publication Date
Aug 01, 2012
Volume
286
Issue
2
Pages
395–398
Identifiers
DOI: 10.1007/s00404-012-2300-z
PMID: 22454215
Source
Medline
License
Unknown

Abstract

Abdominal pregnancy is a rare condition that is potentially life-threatening for the mother. We present a case of simultaneous ectopic pregnancies (EPs) in the right fallopian tube and in the vesicouterine pouch. A 26-year-old woman had undergone prior ovulation induction with clomiphene citrate and human chorionic gonadotropin (hCG) at an outside hospital for unexplained infertility. The patient was referred to our hospital for a suspected ectopic pregnancy at 6 weeks gestation. Transvaginal ultrasonography detected a viable fetus at the anterior left side of the uterus; therefore, we suspected a left tubal pregnancy. However, laparoscopic surgery revealed that EPs were located in both the left vesicouterine pouch and in the right fallopian tube. Resection of the right salpinx and abdominal implant were performed. Histopathological examination confirmed the simultaneous presentation of a primary abdominal pregnancy and a right tubal pregnancy. After surgery, the patient's serum hCG level returned to normal. Concurrent EPs and abdominal pregnancy are very rare. However, it should be noted that reproductive technologies sometimes cause unusual clinical situations. A thorough abdominal inspection is needed.

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