Document Detail

Simultaneous bilateral tubal pregnancies and intrauterine pregnancy with five fetuses.
MedLine Citation:
PMID:  15200774     Owner:  NLM     Status:  MEDLINE    
A 28-year-old woman with severe right lower abdominal pain and vaginal bleeding at 7 weeks' (+/- 2 days') gestation was seen in the emergency room of our institution. The pregnancy was the result of natural conception after ovarian stimulation with gonadotropins. Transvaginal sonography revealed five intrauterine gestational sacs containing five live embryos. A positive fetal heartbeat was detected in the fallopian tube on the right. Laparoscopic findings disclosed the enlarged uterus with the unruptured right ectopic pregnancy in the ampullary region and an extrauterine pregnancy in the left tube as well. A linear salpingotomy was performed on the right tubal pregnancy. We decided to perform salpingectomy on the left tube because it was impossible to preserve the tube, and exploration of it showed the existence of another gestational sac. It is necessary to decry inappropriate and injudicious use of assisted reproductive technologies, especially by individuals with little or no training in monitoring the agents and treatments prescribed. In 2003, still waiting for official legislation from the Italian Parliament on assisted reproductive technology, we have to face dramatic situations, such as this very unique case of heterotopic pregnancy.
Stefano Bettocchi; Luigi Nappi; Oronzo Ceci; Antonella Vimercati; Luigi Selvaggi; Gennaro Cormio; Mario Vicino
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of the American Association of Gynecologic Laparoscopists     Volume:  11     ISSN:  1074-3804     ISO Abbreviation:  J Am Assoc Gynecol Laparosc     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-06-17     Completed Date:  2004-07-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9417443     Medline TA:  J Am Assoc Gynecol Laparosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  195-6     Citation Subset:  IM    
Department of General and Specialist Surgical Sciences, Section of Obstetrics and Gynecology, University of Bari, Italy.
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MeSH Terms
Combined Modality Therapy
Fallopian Tubes / surgery*
Follow-Up Studies
Ovulation Induction
Pregnancy Outcome*
Pregnancy Reduction, Multifetal / methods
Pregnancy Trimester, First
Pregnancy, Multiple*
Pregnancy, Tubal / surgery*,  ultrasonography*
Risk Assessment
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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