Hosseini Sedighe, Hajizadeh Nazanin, Ghotbi Elena, Esmi Mona
Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Division of Obstetrics and Gynecology, Alborz University of Medical Sciences, Karaj, Iran.
JBRA Assist Reprod. 2023 Nov 24;27(4):752-753. doi: 10.5935/1518-0557.20230030.
A 29-year-old female who received assisted reproductive therapy (IVF) in our infertility clinic, at gestational age of 7w + 2d following embryo transfer, presented with a favorable rise of β-hCG level with no detectable gestational sac in the uterine cavity in the vaginal ultrasonogram. First dose of MTX (78) with simultaneous β-hCG titration of 110,000 pg/mL was administered. The patient underwent a second TVS in which a mass in favor of molar ectopic pregnancy was reported. With the suspicion of a molar EP the patient underwent explorative laparotomy. A 3x4 cm mass which was found adjacent to the right ovary was resected. Final pathology report was compatible with partial molar pregnancy. In the follow up period after surgical resection the patient recovered completely without any recurrence.
一名29岁女性在我们的不孕不育诊所接受了辅助生殖治疗（体外受精），在胚胎移植后的孕龄为7周+2天时，β-hCG水平呈良好上升，但经阴道超声检查发现子宫腔内未检测到妊娠囊。给予首剂甲氨蝶呤（78），同时β-hCG滴定值为110,000 pg/mL。患者接受了第二次经阴道超声检查，报告发现一个支持葡萄胎异位妊娠的肿块。由于怀疑是葡萄胎异位妊娠，患者接受了 exploratory laparotomy（此处原文有误，应为exploratory laparotomy，意为剖腹探查术）。切除了在右卵巢附近发现的一个3×4厘米的肿块。最终病理报告与部分性葡萄胎妊娠相符。在手术切除后的随访期内，患者完全康复，无任何复发。
