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Korean Journal of Reproductive Medicine 2009;36(2):129-136.
Published online June 1, 2009.
Combined Tubal and Interstitial Pregnancies after IVF-ET: a Case Report.
Yoe Un Oh, Mi Kyoung Kim, Seo Yeong Lee, You Shin Kim
Fertility Center of CHA General Hospital, Department of Obstetrics and Gynecology,CHA medical University, Seoul, Korea.
Abstract
The incidence of ectopic pregnancy is increased since in vitro fertilization-embryo transfer (IVF-ET) has started. And because of the possibility of combined pregnancy after IVF-ET, bilateral adnexal area and other portion of pelvis should be examined carefully by transvaginal ultrasonography during follow-up period. The rate of combined pregnancy after IVF is estimated to be as high as 0.2~1%. Since the incidence of combined pregnancies is markedly higher with IVF, special attention to this possibility after ET is warranted. According to a recent report, the occurrence of interstitial pregnancy is estimated to be 1:3600 for all pregnancies achieved with IVF. The prevalence of interstitial pregnancies is 2~4% of ectopic pregnancies. Interstitial pregnancies tend to be diagnosed later than most other ectopic pregnancies, and if uterine rupture occurs, the resulting hemorrhage can be severe. Currently, about 2% to 3% of interstitial pregnancies are thought to carry a maternal death, which is twice that of other tubal gestations. We report a case of simultaneous left tubal and right interstitial pregnancies after IVF-ET with a brief review of literature.
Key Words: IVF-ET; Ectopic pregnancy; Interstitial pregnancy; Tubal pregnancy; Combined pregnancy
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