An abdominal ectopic pregnancy following a frozen-thawed ART cycle: a case report and review of the literature

BMC Pregnancy and Childbirth

Case Report

Tae Mogami¹  Yuko Hagiwara¹  Keisuke Saito¹  Atsushi Yanaihara²  Kenichirou Motomura²  Takumi Yanaihara²  Shirei Ohgi² 

[1] Department of Obstetrics & Gynecology, Women’s Health, Yokohama City University Hospital, 3-9 Fukuura Kanazawa-ku, Zip 236-0004, Yokohama, Japan;Yanaihara Women’s Clinic, 1-26-29 Ofuna, Zip247-0056, Kamakura, Kanagawa, Japan;

关键词: Abdominal ectopic pregnancy;    HCG;    Laparoscope;    IVF;    Case report;   

DOI  :  10.1186/s12884-017-1294-8

 received in 2016-05-05, accepted in 2017-03-24,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundEctopic pregnancy (EP) occurs in 1% of pregnancies and is reported to be more common in in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) pregnancies. An abdominal ectopic pregnancy (AEP) is a rare form of EP, and there are few reports of an AEP after IVF/ICSI. In this case report, a rare case of AEP after frozen-thawed cycle of ICSI is presented.Case presentationAfter a frozen-thawed cycle of ICSI, the beta-human chorionic gonadotropin (HCG) level at 4 weeks 0 days of gestation was 3.4 IU/L. Subsequent dysfunctional uterine bleeding was mistaken for menstruation; however, an AEP of 9 weeks with a fetal heart beat was observed by ultrasound. After the AEP was observed by ultrasound, it was extracted laparoscopically.ConclusionA rare case of an AEP, which developed after frozen-thawed cycle of ICSI, presented with a very low serum HCG level. Even if the HCG titer is low, follow-up HCG levels and frequent medical examinations are necessary.

【 授权许可】

CC BY   
© The Author(s). 2017