title: Ovarian Pregnancy Following in Vitro Fertilization in a Woman After Bilateral Salpingectomy: A Case Report and Review of the Literature.
abstract: We present a rare case of ovarian pregnancy that occurred in a woman who underwent in vitro fertilization (IVF) after bilateral salpingectomy. The patient presented with abdominal pain and a positive pregnancy test. Ovarian pregnancy was diagnosed owing to a suspicious mass detected on ultrasound. She underwent laparoscopy to confirm the diagnosis, which was subsequently verified by histopathological examination. The question that comes in mind is: How did the pregnancy get there? After a review of the literature, we have found a few possible explanations for the mechanism of this rare event. This case emphasizes the need for vigilance in suspecting ectopic pregnancy even in women who have undergone salpingectomy.
authors.affiliation: Department of Obstetrics and Gynecology, E. Wolfson Medical Center, Holon, Israel and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
authors.forename: Hagit
authors.initials: H
authors.lastname: Feit
authors.affiliation: Department of Obstetrics and Gynecology, E. Wolfson Medical Center, Holon, Israel and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
authors.forename: Zvi
authors.initials: Z
authors.lastname: Leibovitz
authors.affiliation: Department of Obstetrics and Gynecology, E. Wolfson Medical Center, Holon, Israel and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
authors.forename: Ram
authors.initials: R
authors.lastname: Kerner
authors.affiliation: Department of Obstetrics and Gynecology, E. Wolfson Medical Center, Holon, Israel and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
authors.forename: Ran
authors.initials: R
authors.lastname: Keidar
authors.affiliation: Department of Obstetrics and Gynecology, E. Wolfson Medical Center, Holon, Israel and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel. Electronic address: sagivr@wolfson.health.gov.il.
authors.forename: Ron
authors.initials: R
authors.lastname: Sagiv
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D065172:Pregnancy, Ovarian / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D058994:Salpingectomy / Q000379:methods; D016896:Treatment Outcome
keywords: Ectopic pregnancy; In vitro fertilization; Laparoscopy; Ovarian pregnancy