title: Bilateral tubal and intrauterine pregnancies diagnosed at laparoscopy.
abstract: A 32-year-old woman had bilateral tubal and intrauterine pregnancies after hyperovulation with clomiphene citrate and subsequent artificial insemination with husband's semen. Laparoscopic surgery revealed bilateral tubal pregnancies. Salpingectomy was performed on the left tube and linear salpingotomy was performed on the right tube. The postoperative course was uneventful. The patient delivered a healthy girl vaginally at 39 weeks' gestation. Only eight cases with bilateral and intrauterine pregnancy have been reported. The live birth rate of bilateral tubal pregnancy and intrauterine pregnancy is 60% (6/10), which is similar to that of heterotopic pregnancy. Laparoscopic surgery is effective for confirming the diagnosis and treating heterotopic pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital, Kamakura City, Japan.
authors.forename: Takanori
authors.initials: T
authors.lastname: Fukuda
authors.forename: Hiromi
authors.initials: H
authors.lastname: Inoue
authors.forename: Yuina
authors.initials: Y
authors.lastname: Toyama
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Ichida
authors.forename: Yoshie
authors.initials: Y
authors.lastname: Uzawa
authors.forename: Mika
authors.initials: M
authors.lastname: Monma
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Kusaka
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kohata
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D005260:Female; D006801:Humans; D007317:Insemination, Artificial, Homologous / Q000009:adverse effects; D010535:Laparoscopy / Q000009:adverse effects; D050498:Live Birth; D010062:Ovulation Induction / Q000009:adverse effects; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D063192:Pregnancy, Heterotopic / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D011274:Pregnancy, Tubal / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D011296:Prenatal Diagnosis; D011379:Prognosis; D058994:Salpingectomy / Q000009:adverse effects; D016896:Treatment Outcome
keywords: bilateral tubal pregnancy; heterotopic pregnancy; laparoscopic surgery