Division of Gynecologic Oncology and Gynecologic Minimally Invasive Surgery, Full time faculty of the Department of Obstetrics and Gynecology, Hanyang University College of Medicine, 222-1 Wangsimni-ro Seongdong-gu, Seoul, 04763, Republic of Korea.
BMC Pregnancy Childbirth. 2018 Jun 25;18(1):259. doi: 10.1186/s12884-018-1801-6.
Ovarian pregnancy is very rare, and contralateral tubal pregnancy coexisting with ovarian pregnancy must be even rarer.
A 33-year-old Korean nulliparous woman was referred to our hospital because she suffered lower abdominal pain and had missed her periods after controlled ovarian hyperstimulation and intrauterine insemination. We could not identify any normal gestational sac in the endometrium, or specific ectopic pregnancies, on an initial ultrasound scan. However, there was a large hematoma in the cul-de-sac and free fluid in the right paracolic gutter. We decided to perform emergent laparoscopic surgery. We found contralateral tubal and ovarian ectopic pregnancies.
To the best of our knowledge, this is the first report of a case in which a patient underwent laparoscopic right salpingectomy and left ovarian ectopic mass excision due to contralateral tubal and ovarian ectopic pregnancies after assisted reproductive technology.
卵巢妊娠非常罕见，而同侧输卵管妊娠合并卵巢妊娠则更为罕见。
一位 33 岁的韩国未产妇因接受控制性卵巢过度刺激和宫腔内人工授精后出现下腹疼痛和停经，被转至我院。初次超声检查未能在子宫内膜中识别出任何正常妊娠囊或特定的异位妊娠，但在后穹窿有一个大血肿，右侧结肠旁沟有游离液。我们决定行紧急腹腔镜手术。我们发现同侧输卵管和卵巢异位妊娠。
据我们所知，这是首例因辅助生殖技术后同侧输卵管和卵巢异位妊娠而行腹腔镜右侧输卵管切除术和左侧卵巢异位肿块切除术的病例报告。
