A rare case of bilateral ectopic pregnancy and differential diagnosis of gestational trophoblastic disease

Arab, M. and Kazemi, S.N. and Vahedpoorfard, Z. and Ashoori, A. (2015) A rare case of bilateral ectopic pregnancy and differential diagnosis of gestational trophoblastic disease. Journal of Reproduction and Infertility, 16 (1). pp. 49-52.

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Abstract

Background: Bilateral ectopic pregnancy is a rare condition and is divided in two subgroups, primary and secondary, based on history of assisted reproductive technology. Case Presentation: A 30 year old primigravid woman with history of infertility and ovulation induction presented to a hospital in Kashan in year 2013. She had vaginal bleeding, abdominal pain and ultrasound findings suggested early pregnancy. Due to high titer of β-HCG, gestational trophoblastic disease was proposed and D8C was done in referral and admission to gyneco-oncology ward in Tehran. Repeat sonography suggested ectopic pregnancy in left side and repeat β-HCG level showed an increase of 19435 mIU/ml. Laparotomy findings revealed bilateral ampullary ectopic pregnancy. Bilateral salpingostomy followed by one course of methotrexate was prescribed. Conclusion: Bilateral ectopic gestation should be considered as a rare differential diagnosis for ectopic pregnancy. In this study, bigger size and rupture in left side was observed.

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: chorionic gonadotropin; clomifene; follitropin; human menopausal gonadotropin; methotrexate, adult; Article; aspiration; bilateral ectopic pregnancy; bilateral salpingostomy; case report; curettage; decidualization; differential diagnosis; ectopic pregnancy; female; gestational sac; human; human tissue; infertility; lower abdominal pain; menstrual cycle; primigravida; rare disease; salpingostomy; transvaginal echography; trophoblast; trophoblastic tumor; uterine tube; uterus; vagina bleeding
Subjects: Medicine
Divisions: Faculty of Medicine > Clinical Sciences > Department of , Obstetrics & Gynecology
Depositing User: editor . 2
Date Deposited: 07 Mar 2017 19:26
Last Modified: 07 Mar 2017 19:26
URI: http://eprints.kaums.ac.ir/id/eprint/333

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