Document Type
Journal Article
Publication Date
2018
Journal
Case Reports in Obstetrics and Gynecology
DOI
10.1155/2018/7539713
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.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
APA Citation
Katler, Q., Pflugner, L., & Martinez, A. (2018). Management of Bilateral Ectopic Pregnancies after Ovulation Induction Using Unilateral Salpingectomy and Methotrexate for the Remaining Ectopic with Subsequent Intrauterine Pregnancy. Case Reports in Obstetrics and Gynecology, (). http://dx.doi.org/10.1155/2018/7539713
Peer Reviewed
1
Open Access
1
Comments
Reproduced with permission of Hindawi Publishing Corp. Case Rep Obstet Gynecol