An Abdominal Ectopic Pregnancy Following a Frozen-thawed ART Cycle: a Case Report and Review of the Literature

Overview

Journal BMC Pregnancy Childbirth

Publisher Biomed Central

Specialty Gynecology & Obstetrics

Date 2017 Apr 9

PMID 28388882

Citations 2

Authors

Atsushi Yanaihara

Shirei Ohgi

Kenichirou Motomura

Yuko Hagiwara

Tae Mogami

Keisuke Saito

Takumi Yanaihara

Affiliations

Soon will be listed here.

Abstract

Background: Ectopic 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 Presentation: After 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.

Conclusion: A 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.

Citing Articles

Abdominal ectopic pregnancy following a frozen embryo transfer cycle: a case report.

Li Y, Geng J, He Q, Lu J, Xu J, Zhang Y BMC Pregnancy Childbirth. 2021; 21(1):707.

PMID: 34674658 PMC: 8532271. DOI: 10.1186/s12884-021-04133-5.

Rare Ectopic Pregnancies - A Literature Review for the Period 2007 - 2019 on Locations Outside the Uterus and Fallopian Tubes.

Eisner S, Ebert A, David M Geburtshilfe Frauenheilkd. 2020; 80(7):686-701.

PMID: 32675831 PMC: 7360401. DOI: 10.1055/a-1181-8641.

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