An unexpected quadruplet heterotopic pregnancy after bilateral salpingectomy and replacement of three embryos

被引：40

作者：

Chang, Y ^{[1
]}

Lee, JN ^{[1
]}

Yang, CH ^{[1
]}

Hsu, SC ^{[1
]}

Tsai, EM ^{[1
]}

机构：

[1] Kaohsiung Med Univ Hosp, Dept Obstet & Gynecol, Kaohsiung 807, Taiwan

来源：

FERTILITY AND STERILITY | 2003年 / 80卷 / 01期

关键词：

heterotopic pregnancy; IVF; monozygotic twin;

D O I：

10.1016/S0015-0282(03)00547-8

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To report a case of combined intrauterine and interstitial twin pregnancies after bilateral salpingectomy and IVF with replacement of three embryos. Design: Case report. Setting: University hospital. Patient(s): A 31-year-old woman known to have bilateral salpingectomy for ectopic pregnancies who underwent IVF. Intervention (s): Laparotomy. Main Outcome Measure(s): Postoperation intrauterine monozygotic twins survival and birth. Result(s): After removing the interstitial monozygotic twin pregnancy, the patient had an uneventful postoperative course and delivered two healthy girls by cesarean section at 38 weeks' gestation. Conclusion(s): Heterotopic pregnancy can still occur in women treated by IVF after bilateral salpingectomy. The early sonography follow-up of IVF pregnancy would be of value because of the reported higher incidence of pathological pregnancies and especially monozygotic twinning. (C)2003 by American Society for Reproductive Medicine.

引用

页码：218 / 220

页数：3

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