Korean J Obstet Gynecol.  2012 Nov;55(11):890-893. 10.5468/KJOG.2012.55.11.890.

A case of bilateral tubal pregnancy in woman with ovulation induction by clomiphene citrate

• Kim SW
• Kang MJ
• Lee YK
• Kim JW
• Park NH
• Song YS

• KMID: 2274164
• DOI: http://doi.org/10.5468/KJOG.2012.55.11.890

Abstract

Bilateral simultaneous tubal pregnancy is a rare clinical event. The estimated incidence of bilateral simultaneous tubal pregnancy is 1/200,000 of live births following natural conception and 1/725 to 1/1,580 of all extrauterine pregnancies. Recently, the incidence has increased, because both pelvic inflammatory disease and the use of assisted fertility have become more common. We report a case of bilateral tubal pregnancy managed with unilateral salpingectomy and conservative methotrexate treatment in woman with ovulation induction by clomiphene citrate.

Keyword

Clomiphene; Ovulation induction; Pregnancy; Tubal

MeSH Terms

Clomiphene
Female
Fertility
Fertilization
Humans
Incidence
Live Birth
Methotrexate
Ovulation
Ovulation Induction
Pelvic Inflammatory Disease
Pregnancy
Pregnancy, Tubal
Salpingectomy
Clomiphene
Methotrexate

Figure

• 

  Fig. 1 Preoperative transvaginal ultrasonographic finding, tubal bulging sign, represents left tubal pregnancy.

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  Fig. 2 Initial laparoscopic findings during operation were as follows. (A) Unruptured left tubal pregnancy in the ampullary portion of left fallopian tube. (B) Ruptured right tubal pregnancy in the ampullary portion of right fallopian tube. LO, left ovary; LS, left salpinx; LTP, left tubal pregnancy; RO, right ovary; RS, right salpinx; RTP, right tubal pregnancy; UT, uterus.

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  Fig. 3 Serial beta human chorionic gonadotropin level was demonstrated. β-hCG, β-human chorionic gonadotropin; MTX, methotrexate; POD, postoperative day.

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