体外受精和胚胎移植后发生的输卵管妊娠。

Cul-de-sac pregnancy following in vitro fertilization and embryo transfer.

作者信息

Shih Chuan-Chi, Lee Robert Kuo-Kuang, Hwu Yuh-Ming

机构信息

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.

出版信息

Taiwan J Obstet Gynecol. 2007 Jun;46(2):171-3. doi: 10.1016/S1028-4559(07)60013-8.

DOI:10.1016/S1028-4559(07)60013-8

PMID:17638627

Abstract

OBJECTIVE

We report a case of cul-de-sac pregnancy following in vitro fertilization and embryo transfer (IVF-ET) in a patient with primary infertility.

CASE REPORT

A 33-year-old primigravida woman underwent IVF-ET 4 weeks before her presentation. Serum beta-human chorionic gonadotropin (beta-hCG) on day 20 after embryo transfer was 901 mIU/mL. Ultrasound examination on day 30 after embryo transfer revealed an ectopic gestational sac with fetal heart beat in the left adnexa, without any evidence of intrauterine pregnancy. Laparoscopy was performed and revealed an ectopic mass in the congenital blind pouch that was connected to the posterior cul-de-sac. The gestational tissue was removed by forceps, and electrocauterization was used for hemostasis under laparotomy. Serum beta-hCG fell to 7 mIU/mL after surgery.

CONCLUSION

Serum beta-hCG combined with ultrasound scanning enables early diagnosis of ectopic pregnancy.

摘要

目的

我们报告一例原发性不孕症患者在体外受精-胚胎移植（IVF-ET）后发生子宫直肠陷凹妊娠的病例。

病例报告

一名33岁初产妇在就诊前4周接受了IVF-ET。胚胎移植后第20天血清β-人绒毛膜促性腺激素（β-hCG）为901 mIU/mL。胚胎移植后第30天超声检查显示左侧附件有一个有胎心搏动的异位妊娠囊，未发现宫内妊娠迹象。进行了腹腔镜检查，发现先天性盲袋中有一个异位包块，与子宫直肠陷凹相连。通过镊子取出妊娠组织，并在剖腹手术下用电灼止血。术后血清β-hCG降至7 mIU/mL。