Volume 46, Issue 2 , Pages 171-173, June 2007
CUL-DE-SAC Pregnancy Following In Vitro Fertilization and Embryo Transfer
Article Outline
Summary
Objective
We report a case of cul-de-sac pregnancy following in vitro fertilization and embryo transfer (IVF-ET) in a patient with primary infertility.
Case Report
A 33-year-old primigravida woman underwent IVF-ET 4 weeks before her presentation. Serum β-human chorionic gonadotropin (β-hCG) on day 20 after embryo transfer was 901 mIU/mL. Ultrasound examination on day 30 after embryo transfer revealed an ectopic gestational sac with fetal heart beat in the left adnexa, without any evidence of intrauterine pregnancy. Laparoscopy was performed and revealed an ectopic mass in the congenital blind pouch that was connected to the posterior cul-de-sac. The gestational tissue was removed by forceps, and electrocauterization was used for hemostasis under laparotomy. Serum β-hCG fell to 7 mIU/mL after surgery.
Conclusion
Serum β-hCG combined with ultrasound scanning enables early diagnosis of ectopic pregnancy.
Key Word: cul-de-sac pregnancy , IVF-ET
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References
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- . Abdominal pregnancy: a study of twenty-one consecutive cases . Am J Obstet Gynecol . 1985;152:444–449
- . Abdominal pregnancy in the United States: frequency and maternal mortality . Obstet Gynecol . 1987;69:333–337
- . Risk factors for ectopic pregnancy in 556 pregnancies after in vitro fertilization: implications for preventive management . Fertil Steril . 1991;56:686–690
PII: S1028-4559(07)60013-8
doi:10.1016/S1028-4559(07)60013-8
© 2007 Taiwan Association of Obstetric & Gynecology. Published by Elsevier Inc. All rights reserved.
Volume 46, Issue 2 , Pages 171-173, June 2007
