Document Detail


Successful management of a triplet heterotopic caesarean scar pregnancy after in vitro fertilization-embryo transfer.
MedLine Citation:
PMID:  20646693     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To report a case of a triplet heterotopic caesarean scar pregnancy (CSP) with two gestational sacs implanted in the caesarean scar after in vitro fertilization-embryo transfer.
DESIGN: Case report.
SETTINGS: Private reproductive medicine center and obstetric department of a university hospital.
PATIENT(S): A 31-year-old woman with previous caesarean section affected by secondary infertility related to male azoospermia.
INTERVENTION(S): In vitro fertilization-embryo transfer followed by early ultrasound diagnosis of heterotopic CSP and selective embryo reduction performed by transvaginal ultrasound-guided potassium chloride and methotrexate injection in the ectopic gestational sacs.
MAIN OUTCOME MEASURE(S): Successful pregnancy outcome.
RESULT(S): An ongoing intrauterine pregnancy with a live birth after successful management of ectopic gestational sacs.
CONCLUSION(S): Triplet heterotopic CSP with two ectopic gestational sacs may occur after IVF-ET and, to our knowledge, this is the first time such a complication has been reported. Ultrasound is the main tool allowing early diagnosis of this condition, and the injection of potassium chloride and methotrexate is a safe and efficacious treatment method. The gynecologist managing early pregnancy should be aware of the possibility of CSP, and patients must be appropriately counseled about the different treatment options.
Authors:
Katarzyna Litwicka; Ermanno Greco; Federico Prefumo; Nicola Fratelli; Filomena Scarselli; Susanna Ferrero; Elisabetta Iammarrone; Tiziana Frusca
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Publication Detail:
Type:  Journal Article     Date:  2010-06-20
Journal Detail:
Title:  Fertility and sterility     Volume:  95     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  291.e1-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Assisted Reproduction Centre, European Hospital, Rome, Italy. Litwicka@yahoo.it
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