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An unexpected quadruplet heterotopic pregnancy after bilateral salpingectomy and replacement of three embryos
Yu Chang1, Jau Nan Lee, Cheng Hui Yang
1Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Objective:
To report a case of combined intrauterine and interstitial twin pregnancies after bilateral salpingectomy and IVF with replacement of three embryos.
Design:
Case report.
Setting:
University hospital.
Patient(S):
A 31-year-old woman known to have bilateral salpingectomy for ectopic pregnancies who underwent IVF.
Intervention(S):
Laparotomy.
Main Outcome Measure(S):
Postoperation intrauterine monozygotic twins survival and birth.
Result(S):
After removing the interstitial monozygotic twin pregnancy, the patient had an uneventful postoperative course and delivered two healthy girls by cesarean section at 38 weeks' gestation.
Conclusion(S):
Heterotopic pregnancy can still occur in women treated by IVF after bilateral salpingectomy. The early sonography follow-up of IVF pregnancy would be of value because of the reported higher incidence of pathological pregnancies and especially monozygotic twinning.
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