[Heterotopic pregnancy after in vitro fertilization].
In our paper we described a rare case of heterotopic pregnancy after in vitro fertilization (IVF-ET). Heterotopic pregnancy (coexistence of intrauterine and ectopic pregnancy) appears in 1 per 30 thousand cases of natural pregnancies and in 1% of pregnancies after IVF. The pregnancy was obtained after ICSI and transfer of 2 embryos. The pregnancy was confirmed by HCG serum presence--13 days after ET. On day 39 after IVF procedure, the patient was admitted to the hospital because of abdominal pain. At admission, ultrasound examination confirmed an 8 week intrauterine pregnancy and enlarged polycystic ovaries. After 3-day-long observation, patient status worsened and laparoscopy procedure was performed. The ectopic pregnancy was confirmed during operation and the ovum was removed a long with fallopian tube. Ultrasound examination on the 6th day after operation confirmed single intrauterine viable fetus. in order to diagnose the possible complications, women undergoing IVF procedure should be carefully observed by IVF performing physicians.
Lukaszuk
Krzysztof
K
Zakład Endokrynologii Ginekologicznej, Instytut Połoznictwa i Chorób Kobiecych, Akademia Medyczna w Gdańsku. luka@amg.gda.pl
Nakonieczny
Mirosław
M
Wójcik
Dariusz
D
Liss
Joanna
J
Preis
Krzysztof
K
Emerich
Janusz
J
D000032:Abortion, Therapeutic / Q000379:methods; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011256:Pregnancy Outcome; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D018566:Pregnancy, High-Risk; D014463:Ultrasonography