Bilateral ectopic pregnancy following ICSI

BMJ Case Rep. 2014 Jun 26:2014:bcr2014204814. doi: 10.1136/bcr-2014-204814.

Abstract

Bilateral tubal ectopic pregnancy is a rare clinical condition with an estimated prevalence of 1/200,000 spontaneous pregnancies. There is paucity of data on the prevalence of this rare condition following intracytoplasmic sperm injection and embryo transfer (ICSI-ET) cycles. We report two patients with bilateral tubal ectopic pregnancy following ICSI-ET. Both patients had normal, reassuring β-human chorionic gonadotropin dynamics during follow-up; the diagnosis was performed when no gestational sac was noted at the first planned antenatal visit. Of the two patients, one was treated medically and the other surgically with laparoscopic salpingotomy and salpingectomy for the right and left sides, respectively. Both patients thereafter conceived and delivered healthy infants following subsequent ICSI-ET attempts.

Publication types

  • Case Reports

MeSH terms

  • Chorionic Gonadotropin, beta Subunit, Human / blood
  • Embryo Transfer
  • Fallopian Tubes* / surgery
  • Female
  • Gestational Sac
  • Humans
  • Middle Aged
  • Pregnancy
  • Pregnancy, Tubal / etiology*
  • Pregnancy, Tubal / therapy
  • Salpingectomy
  • Sperm Injections, Intracytoplasmic / adverse effects*

Substances

  • Chorionic Gonadotropin, beta Subunit, Human