Document Detail


Sonographic diagnosis of triplet tubal pregnancy after in vitro fertilization and embryo transfer.
MedLine Citation:
PMID:  9502039     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ectopic pregnancy (EP) after in vitro fertilization and embryo transfer (IVF/ET) is not rare, but triplet tubal pregnancy after IVF/ET is very rare. We describe a patient with hydrosalpinx in whom a triplet tubal pregnancy occurred on the same side as the hydrosalpinx. Close hormonal and sonographic monitoring of pregnancies achieved through IVF is recommended to ensure the early diagnosis of EP and to avert complications. A triplet tubal EP was considered highly probable after 3 gestational sacs were observed outside the uterus during sonography performed at 6 weeks' gestation. Therapeutic laparoscopy was then performed because methotrexate treatment failed. Appropriate management strategies are discussed.
Authors:
H D Tsai; C C Chang; Y Y Hsieh; C C Chang; T C Yang; C M Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  26     ISSN:  0091-2751     ISO Abbreviation:  J Clin Ultrasound     Publication Date:    1998 Mar-Apr
Date Detail:
Created Date:  1998-04-30     Completed Date:  1998-04-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  159-62     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, China Medical College Hospital, Taichung, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amnion / ultrasonography
Antimetabolites / therapeutic use
Chorion / ultrasonography
Embryo Transfer*
Fallopian Tube Diseases / complications
Female
Fertilization in Vitro*
Gestational Age
Humans
Laparoscopy
Methotrexate / therapeutic use
Pregnancy
Pregnancy, Multiple*
Pregnancy, Tubal / ultrasonography*
Prenatal Care
Triplets*
Ultrasonography, Prenatal*
Chemical
Reg. No./Substance:
0/Antimetabolites; 59-05-2/Methotrexate

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


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