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A Rare Case of Bilateral Ectopic Pregnancy and Differential Diagnosis of Gestational Trophoblastic Disease

BACKGROUND: Bilateral ectopic pregnancy is a rare condition and is divided in two subgroups, primary and secondary, based on history of assisted reproductive technology. CASE PRESENTATION: A 30 year old primigravid woman with history of infertility and ovulation induction presented to a hospital in...

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Autores principales: Arab, Maliheh, Neda Kazemi, Seyyedeh, Vahedpoorfard, Zahra, Ashoori, Adeleh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Avicenna Research Institute 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322182/
https://www.ncbi.nlm.nih.gov/pubmed/25717436
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author Arab, Maliheh
Neda Kazemi, Seyyedeh
Vahedpoorfard, Zahra
Ashoori, Adeleh
author_facet Arab, Maliheh
Neda Kazemi, Seyyedeh
Vahedpoorfard, Zahra
Ashoori, Adeleh
author_sort Arab, Maliheh
collection PubMed
description BACKGROUND: Bilateral ectopic pregnancy is a rare condition and is divided in two subgroups, primary and secondary, based on history of assisted reproductive technology. CASE PRESENTATION: A 30 year old primigravid woman with history of infertility and ovulation induction presented to a hospital in Kashan in year 2013. She had vaginal bleeding, abdominal pain and ultrasound findings suggested early pregnancy. Due to high titer of β-HCG, gestational trophoblastic disease was proposed and D8C was done in referral and admission to gyneco-oncology ward in Tehran. Repeat sonography suggested ectopic pregnancy in left side and repeat β-HCG level showed an increase of 19435 mIU/ml. Laparotomy findings revealed bilateral ampullary ectopic pregnancy. Bilateral salpingostomy followed by one course of methotrexate was prescribed. CONCLUSION: Bilateral ectopic gestation should be considered as a rare differential diagnosis for ectopic pregnancy. In this study, bigger size and rupture in left side was observed.
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spelling pubmed-43221822015-02-25 A Rare Case of Bilateral Ectopic Pregnancy and Differential Diagnosis of Gestational Trophoblastic Disease Arab, Maliheh Neda Kazemi, Seyyedeh Vahedpoorfard, Zahra Ashoori, Adeleh J Reprod Infertil Case Report BACKGROUND: Bilateral ectopic pregnancy is a rare condition and is divided in two subgroups, primary and secondary, based on history of assisted reproductive technology. CASE PRESENTATION: A 30 year old primigravid woman with history of infertility and ovulation induction presented to a hospital in Kashan in year 2013. She had vaginal bleeding, abdominal pain and ultrasound findings suggested early pregnancy. Due to high titer of β-HCG, gestational trophoblastic disease was proposed and D8C was done in referral and admission to gyneco-oncology ward in Tehran. Repeat sonography suggested ectopic pregnancy in left side and repeat β-HCG level showed an increase of 19435 mIU/ml. Laparotomy findings revealed bilateral ampullary ectopic pregnancy. Bilateral salpingostomy followed by one course of methotrexate was prescribed. CONCLUSION: Bilateral ectopic gestation should be considered as a rare differential diagnosis for ectopic pregnancy. In this study, bigger size and rupture in left side was observed. Avicenna Research Institute 2015 /pmc/articles/PMC4322182/ /pubmed/25717436 Text en Copyright © 2015 Avicenna Research Institute http://creativecommons.org/licenses/by-nc/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Case Report
Arab, Maliheh
Neda Kazemi, Seyyedeh
Vahedpoorfard, Zahra
Ashoori, Adeleh
A Rare Case of Bilateral Ectopic Pregnancy and Differential Diagnosis of Gestational Trophoblastic Disease
title A Rare Case of Bilateral Ectopic Pregnancy and Differential Diagnosis of Gestational Trophoblastic Disease
title_full A Rare Case of Bilateral Ectopic Pregnancy and Differential Diagnosis of Gestational Trophoblastic Disease
title_fullStr A Rare Case of Bilateral Ectopic Pregnancy and Differential Diagnosis of Gestational Trophoblastic Disease
title_full_unstemmed A Rare Case of Bilateral Ectopic Pregnancy and Differential Diagnosis of Gestational Trophoblastic Disease
title_short A Rare Case of Bilateral Ectopic Pregnancy and Differential Diagnosis of Gestational Trophoblastic Disease
title_sort rare case of bilateral ectopic pregnancy and differential diagnosis of gestational trophoblastic disease
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322182/
https://www.ncbi.nlm.nih.gov/pubmed/25717436
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