[Management of ectopic pregnancies complicating in vitro fertilization: a remarkable case of bilateral ectopic pregnancy with independent courses of the pregnancies].
OBJECTIVE
To define management rules for ectopic pregnancy complicating in vitro fertilization.


METHODS
We describe a case of bilateral ectopic pregnancy complicating in vitro fertilization which led to two separate laparoscopic procedures.


RESULTS
A first laparoscopy was required to perform salpingectomy for ectopic pregnancy. A second laparoscopy was later required for a second salpingectomy for a second ectopic pregnancy complicating the same in vitro fertilization.


CONCLUSIONS
Pre-existent tubal lesions are frequently observed in women who develop ectopic pregnancies after in vitro fertilization. If serum beta-hCG levels and pelvic ultrasound results are not taken into consideration with sufficient care, delayed diagnosis may lead to the unsuitable management. Women with multiple embryonic reimplantations must be monitored rigorously. Salpingectomy is the best treatment option for this type of complication.
Sergent
F
F
Clinique Gynécologique et Obstétricale, Pavillon Mère-Enfant, Hôpital Charles-Nicolle, 1, rue de Germont, 76031 Rouen Cedex.
Verspyck
E
E
Marpeau
L
L
D000328:Adult; D004624:Embryo Transfer / Q000009:adverse effects*; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000209:etiology*; D012008:Recurrence; D012086:Reoperation