Heterotopic pregnancy after bilateral salpingectomy, IVF and multiple embryos transfer. A case report and systematic review of the literature

Grigorios Karampas*, Andreas Zouridis, Evangelia Deligeoroglou, Dimitra Metallinou, Theodoros Panoskaltsis, Konstantinos Panoulis, Martin Rudnicki, Nikolaos Vlahos

*Kontaktforfatter for dette arbejde

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Abstrakt

Heterotopic pregnancy after bilateral salpingectomy is an extremely rare complication of in vitro fertilisation/embryo transfer cycles. We report a case of a ruptured abdominal pregnancy on the omentum which was the stimulus to conduct the first systematic review on this complication according to ‘PRISMA’ guidelines (PROSPERO R.No CRD42020134104). PubMed, EMBASE and OpenAIRE databases were systematically reviewed for studies reporting (a) cases or case series of, (b) heterotopic pregnancies after, (c) prior bilateral salpingectomy, and (d) embryo transfer cycles. Twenty-two articles met the selection criteria including, with our case, 28 cases. Based on the results, clinical manifestations and laboratory findings can be unspecific or misleading. Transvaginal ultrasound is the main diagnostic tool as the ectopic foetus is more frequently located in the intramural part of the fallopian tubes, the tubal stump or the ovaries. Laparotomy or laparoscopy are the main treatment options with adequate perinatal outcome.

OriginalsprogEngelsk
TidsskriftJournal of Obstetrics and Gynaecology
ISSN0144-3615
DOI
StatusE-pub ahead of print - 12. jan. 2022

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© 2022 Informa UK Limited, trading as Taylor & Francis Group.

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