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.
Highlights
A Case of Ovarian Ectopic Pregnancy after In-Vitro-FertilizationBanys 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
The first In Vitro Fertilization (IVF) resulted in tubal pregnancy and was reported by Steptoe and Edwards in 1976 [1]
In this publication we report an interesting case of this very rare condition after IVF-procedure and embryo transfer
Summary
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
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