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Caution with bilateral salpingectomy and consideration of tubal stump ectopic in IVF
  1. Swee Lin Yip1,
  2. Shahul Hameed Mohamed Siraj2 and
  3. Jerry Kok Yen Chan1
  1. 1Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore
  2. 2Department of Gynaeoncology, KK Women's and Children's Hospital, Singapore
  1. Correspondence to Dr Swee Lin Yip; yip.swee.lin{at}singhealth.com.sg

Abstract

We report a 35-year-old female patient with a history of bilateral salpingectomy from ectopic pregnancies presenting with a positive serum beta-human chorionic gonadotropin (bhCG) result following in vitro fertilisation (IVF) treatment. Apart from per vaginal spotting, she remained asymptomatic. Initial ultrasound showed an empty uterus with a cystic mass on the right side of the uterus. Serum beta-hCG was trended. A follow-up pelvic ultrasound 1 week later showed a live pregnancy in the right adnexa. A diagnostic laparoscopy was performed, which revealed an unruptured right stump ectopic pregnancy that was successfully removed. As a stump ectopic pregnancy can be a potentially life-threatening occurrence, we emphasise caution with salpingectomy and the consideration of tubal stump ectopic pregnancies following IVF treatment.

  • obstetrics and gynaecology
  • reproductive medicine
  • pregnancy

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Footnotes

  • Contributors SLY: Primary surgeon and composer of the manuscript. SHMS: Second surgeon and reviewer of the manuscript. JKYC: Primary caregiver and reproductive medicine specialist of the patient, and reviewer of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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