CC BY 4.0 · Rev Bras Ginecol Obstet 2020; 42(03): 165-168
DOI: 10.1055/s-0040-1708093
Case Report
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

A Rare Case of Bilateral Tubal Ectopic Pregnancy Following Intracytoplasmic Sperm Injection-Embryo Transfer (ICSI-ET)

1   Department of Obstetrics and Gynecology, Ege University Faculty of Medicine, Izmir, Turkey
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1   Department of Obstetrics and Gynecology, Ege University Faculty of Medicine, Izmir, Turkey
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1   Department of Obstetrics and Gynecology, Ege University Faculty of Medicine, Izmir, Turkey
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1   Department of Obstetrics and Gynecology, Ege University Faculty of Medicine, Izmir, Turkey
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1   Department of Obstetrics and Gynecology, Ege University Faculty of Medicine, Izmir, Turkey
› Author Affiliations
Further Information

Publication History

23 October 2019

13 January 2020

Publication Date:
31 March 2020 (online)

Abstract

Bilateral tubal ectopic pregnancy is a very rare form of ectopic pregnancy. The incidence is higher in women undergoing assisted reproductive techniques or ovulation induction. We report the case of bilateral tubal ectopic pregnancy. The patient was 30 years old and had a 3-year history of infertility; she was referred to the in-vitro fertilization (IVF) program because of tubal factor infertility. A pregnancy resulted from the transfer of two embryos during an artificial cycle. Despite the increase in β-hCG values during the follow-up, 22 days after the embryo transfer, the β-hCG levels were 2,408 U/L and the serum progesterone (P4) level was 10.53 ng/ml. After application with methotrexate, β-hCG levels did not decrease effectively. Moreover, the sonographic screening revealed a suspicious bilateral tubal focus for ectopic pregnancy. A mini-laparotomy was performed and a bilateral tubal pregnancy was found. In the case of unilateral tubal pregnancy after the transfer of two embryos, the situation of the other tube should be systematically checked and β-hCG levels should be monitored.