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Management of Bilateral Ectopic Pregnancies after Ovulation Induction Using Unilateral Salpingectomy and Methotrexate for the Remaining Ectopic with Subsequent Intrauterine Pregnancy.
- Source :
-
Case Reports in Obstetrics & Gynecology . 7/5/2018, p1-4. 4p. - Publication Year :
- 2018
-
Abstract
- Bilateral ectopic pregnancy is a rare phenomenon which is found with increased frequency when using assisted reproductive technology (ART). This diagnosis is most often made incidentally and intraoperatively, as ultrasound and serial β-hCG trends have shown poor efficacy for accurate diagnosis. Management of bilateral ectopic pregnancies is most commonly reported using bilateral surgical removal of the ectopic pregnancy (salpingostomy and/or salpingectomy). We present a case of an ART patient with incidentally found bilateral tubal ectopic pregnancies, where multiple management strategies including medical and surgical techniques were used concurrently which resulted in a subsequent spontaneous intrauterine pregnancy. While the standard of care is difficult to establish, we recommend individualizing management decisions based on the patient’s reproductive goals and overall risk profile. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 20906684
- Database :
- Academic Search Index
- Journal :
- Case Reports in Obstetrics & Gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 130506024
- Full Text :
- https://doi.org/10.1155/2018/7539713