Ectopic pregnancy in a preexisting hydrosalpinx during a spontaneous pregnancy.
OBJECTIVE
To discuss the possible role of abnormal embryo migration as a cause of ectopic pregnancy during IVF with hydrosalpinges.


METHODS
Case report.


METHODS
University-based reproductive endocrinology and fertility clinic.


METHODS
A patient presenting with a tubal ectopic pregnancy after spontaneous conception in a preexisting hydrosalpinx.


METHODS
Laparoscopic salpingectomy.


METHODS
Ultrasound and operative findings.


RESULTS
Case demonstration of abnormal embryo migration into a surgically documented preexisting hydrosalpinx during a spontaneous conception.


CONCLUSIONS
The mechanism of increased tubal ectopic pregnancy rates during IVF with hydrosalpinges remains unexplained. This case supports abnormal embryo migration due to the hydrosalpinx as a contributing factor.
Garde
Rachana V
RV
Division of Reproductive Endocrinology and Fertility, Duke University, Durham, North Carolina, USA.
Jovanovic
Vuk P
VP
Couchman
Grace M
GM
Walmer
David K
DK
Price
Thomas M
TM
D005184:Fallopian Tube Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000175:diagnosis* / Q000601:surgery*; D012489:Salpingostomy; D016896:Treatment Outcome