alexa A Case of Ovarian Ectopic Pregnancy after In-Vitro-Fert
ISSN: 2375-4508

Journal of Fertilization: In Vitro - IVF-Worldwide, Reproductive Medicine, Genetics & Stem Cell Biology
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Case Report

A Case of Ovarian Ectopic Pregnancy after In-Vitro-Fertilization

Banys M1*, Krawczyk N3, Henze C2, Born S2 and Spaetling L2
1Department of Obstetrics and Gynecology, Marienkrankenhaus Hamburg, Hamburg, Germany
2Department of Obstetrics and Gynecology, Klinikum Fulda, Fulda, Germany
3Department of Obstetrics and Gynecology, University of Duesseldorf, Germany
Corresponding Author : Dr. Malgorzata Banys, MD
Department of Obstetrics and Gynecology
Marienkrankenhaus Hamburg
Alfredstr. 9, 22087 Hamburg, Germany
Tel: +49-176 235 05735
Fax: +49-40 2546 1619
E-mail: [email protected]
Received March 25, 2013; Accepted May 24, 2013; Published May 27, 2013
Citation: Banys M, Krawczyk N, Henze C, Born S, Spaetling L (2013) A Case of Ovarian Ectopic Pregnancy after In-Vitro-Fertilization. J Fertil In Vitro IVF Worldw Reprod Med Genet Stem Cell Biol 1:102. doi:jfiv.1000102
Copyright: © 2013 Banys M, et al . This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

The incidence of Ectopic Pregnancies (EP) following IVF is 3–5-fold higher than in general population and has been reported to be in the range of 1-5%. The 35-year old primigravida presented in our Outpatient Clinic with lower abdominal pain, nausea and vomiting 30 days after the transfer of two embryos following IVF treatment. She had pressure pain and tenderness in the right adnexal area, as well as muscular abdominal defense. Transvaginal ultrasound revealed free intraperitoneal fluid in the pouch of Douglas and a cystic mass in the right adnexa without a definite embryonal structure. A diagnostic laparoscopy revealed coagulated blood in the pelvis and partly destructed right ovarian tissue, which clinically resembled a typical corpus luteum hemorrhage. This tissue was removed. Histological examination showed ovarian ectopic pregnancy. In this case report we discuss causes and diagnostic challenges of ectopic pregnancy following IVF.

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