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Published on: January 22, 2022
Ectopic pregnancy in a preexisting hydrosalpinx during a spontaneous pregnancy
Rachana V Garde1, Vuk P Jovanovic, Grace M Couchman
1Division of Reproductive Endocrinology and Fertility, Duke University, Durham, North Carolina, USA.
Objective:
To discuss the possible role of abnormal embryo migration as a cause of ectopic pregnancy during IVF with hydrosalpinges.
Design:
Case report.
Setting:
University-based reproductive endocrinology and fertility clinic.
Patient(S):
A patient presenting with a tubal ectopic pregnancy after spontaneous conception in a preexisting hydrosalpinx.
Intervention(S):
Laparoscopic salpingectomy.
Main Outcome Measure(S):
Ultrasound and operative findings.
Result(S):
Case demonstration of abnormal embryo migration into a surgically documented preexisting hydrosalpinx during a spontaneous conception.
Conclusion(S):
The mechanism of increased tubal ectopic pregnancy rates during IVF with hydrosalpinges remains unexplained. This case supports abnormal embryo migration due to the hydrosalpinx as a contributing factor.
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