Abstract
BackgroundOvarian pregnancy is very rare, and contralateral tubal pregnancy coexisting with ovarian pregnancy must be even rarer.Case presentationA 33-year-old Korean nulliparous woman was referred to our hospital because she suffered lower abdominal pain and had missed her periods after controlled ovarian hyperstimulation and intrauterine insemination. We could not identify any normal gestational sac in the endometrium, or specific ectopic pregnancies, on an initial ultrasound scan. However, there was a large hematoma in the cul-de-sac and free fluid in the right paracolic gutter. We decided to perform emergent laparoscopic surgery. We found contralateral tubal and ovarian ectopic pregnancies.ConclusionTo the best of our knowledge, this is the first report of a case in which a patient underwent laparoscopic right salpingectomy and left ovarian ectopic mass excision due to contralateral tubal and ovarian ectopic pregnancies after assisted reproductive technology.
Highlights
Ovarian pregnancy is very rare, and contralateral tubal pregnancy coexisting with ovarian pregnancy must be even rarer.Case presentation: A 33-year-old Korean nulliparous woman was referred to our hospital because she suffered lower abdominal pain and had missed her periods after controlled ovarian hyperstimulation and intrauterine insemination
To the best of our knowledge, this is the first report of a case in which a patient underwent laparoscopic right salpingectomy and left ovarian ectopic mass excision due to contralateral tubal and ovarian ectopic pregnancies after assisted reproductive technology
After ovarian hyperstimulation there were four dominant follicles in the left ovary only, and an ovum released from the left ovary was fertilized in the left fallopian tube; the conceptus refluxed to the left ovary and was implanted in it, leading to the left ovarian pregnancy [9]
Summary
We report for the first time the simultaneous occurrence of an ovarian and a tubal pregnancy on different sides of the uterus after controlled ovarian hyperstimulation and intrauterine insemination. Because there had been no previous report of this situation, it was hard to account for it before surgery was undertaken, and it needed to be distinguished from other causes that accompany abdominal pain and hemoperitoneum. We show timeline of treatment for this case. Authors’ contributions JSC planned and carried out the study. JME, EL and JL participated in the surgery. JME contributed to the case analysis and wrote the manuscript, and WML, JB, EL and JHK contributed to drafting the manuscript and critical revision. All authors have read and approved the final version of this manuscript. Consent to publication Written informed consent was obtained from the patient for the publication of this Case report and any accompanying images. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations
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