Korean J Obstet Gynecol.  2001 Dec;44(12):2372-2375.

A case of simultaneous bilateral tubal pregnancies following the ovulation induction and intrauterine insemination

• Yoo JK
• Lee JJ
• Song JH
• Jeon SC
• Kang JH
• Kim S
• Park CH
• Cho DH

Abstract

Bilateral tubal pregnancy is the least common type of all extrauterine pregnancies, 1:725-1:1580 of pregnancies are bilateral. Simultaneous tubal pregnancies have been reported in natural cycles, recently, after ovulation induction, assisted reproductive techniques. The high incidence of ectopic pregnancy assisted with ovulation induction continues to be a problem. Bilateral tubal pregnancy associated with the ovulation induction has been reported few cases of 3.0% to 6.0% in frequency. This paper describes a case of simultaneous bilateral tubal pregnancy after ovulation induction and intrauterine insemination in a 27 year old patient. The diagnosis was confirmed by laparoscopy performed 30 days after intrauterine insemination, which revealed bilateral tubal pregnancy and mild hyperstimulated ovaries. Bilateral salpingectomy was performed. With a review of the literature on this topic, diagnostic aspect and incidence and treatment options are discussed.

Keyword

Bilateral tubal pregnancy; Ectopic pregnancy; Ovulation induction

MeSH Terms

Adult
Diagnosis
Female
Humans
Incidence
Insemination*
Laparoscopy
Ovary
Ovulation Induction*
Ovulation*
Pregnancy
Pregnancy, Ectopic
Pregnancy, Tubal*
Reproductive Techniques, Assisted
Salpingectomy