Heterotopic pregnancy after bilateral salpingectomy resulting in near-term delivery of a healthy infant
Objective To describe an unusual case of heterotopic pregnancy. Design Case report. Setting Division of Reproductive Medicine and Infertility, Women & Infants' Hospital of Rhode Island, Brown Medical School. Providence, Rhode Island. Patient(s) A woman with an unusual heterotopic pregnancy...
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Veröffentlicht in: | Fertility and sterility 2007-12, Vol.88 (6), p.1676.e1-1676.e2 |
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creator | Blazar, Andrew S., M.D Frishman, Gary N., M.D Winkler, Nurit, M.D |
description | Objective To describe an unusual case of heterotopic pregnancy. Design Case report. Setting Division of Reproductive Medicine and Infertility, Women & Infants' Hospital of Rhode Island, Brown Medical School. Providence, Rhode Island. Patient(s) A woman with an unusual heterotopic pregnancy who had had prior bilateral salpingectomies, but delivered a healthy female infant near term after requiring laparotomy for a ruptured left cornual pregnancy 28 days after embryo transfer. Intervention(s) IVF, laparotomy with wedge resection of the left tubal cornu, and near-term cesarean section. Main Outcome Measure(s) Excision of ectopic pregnancy with preservation of intrauterine pregnancy. Result(s) Delivery of a 2920 gram (6 lb, 7 oz) female infant. Conclusion(s) Heterotopic pregnancy may occur after bilateral salpingectomy, but a satisfactory outcome can be obtained in such circumstances after surgical excision of the ectopic gestation and preservation of the intrauterine pregnancy. |
doi_str_mv | 10.1016/j.fertnstert.2007.01.114 |
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Design Case report. Setting Division of Reproductive Medicine and Infertility, Women & Infants' Hospital of Rhode Island, Brown Medical School. Providence, Rhode Island. Patient(s) A woman with an unusual heterotopic pregnancy who had had prior bilateral salpingectomies, but delivered a healthy female infant near term after requiring laparotomy for a ruptured left cornual pregnancy 28 days after embryo transfer. Intervention(s) IVF, laparotomy with wedge resection of the left tubal cornu, and near-term cesarean section. Main Outcome Measure(s) Excision of ectopic pregnancy with preservation of intrauterine pregnancy. Result(s) Delivery of a 2920 gram (6 lb, 7 oz) female infant. Conclusion(s) Heterotopic pregnancy may occur after bilateral salpingectomy, but a satisfactory outcome can be obtained in such circumstances after surgical excision of the ectopic gestation and preservation of the intrauterine pregnancy.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2007.01.114</identifier><identifier>PMID: 17482185</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; bilateral salpingectomy ; Cesarean Section ; Fallopian Tubes - surgery ; Female ; Hemorrhage - complications ; Heterotopic pregnancy ; Humans ; Infant, Newborn ; Internal Medicine ; Obstetrics and Gynecology ; Pregnancy ; Pregnancy, Ectopic ; Term Birth</subject><ispartof>Fertility and sterility, 2007-12, Vol.88 (6), p.1676.e1-1676.e2</ispartof><rights>American Society for Reproductive Medicine</rights><rights>2007 American Society for Reproductive Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-d1c8d03c0f7f05b1a39fcb1f0c5dac391ebe9ea1840519a7edbd87c601efd9873</citedby><cites>FETCH-LOGICAL-c477t-d1c8d03c0f7f05b1a39fcb1f0c5dac391ebe9ea1840519a7edbd87c601efd9873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.fertnstert.2007.01.114$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17482185$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blazar, Andrew S., M.D</creatorcontrib><creatorcontrib>Frishman, Gary N., M.D</creatorcontrib><creatorcontrib>Winkler, Nurit, M.D</creatorcontrib><title>Heterotopic pregnancy after bilateral salpingectomy resulting in near-term delivery of a healthy infant</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><description>Objective To describe an unusual case of heterotopic pregnancy. Design Case report. Setting Division of Reproductive Medicine and Infertility, Women & Infants' Hospital of Rhode Island, Brown Medical School. Providence, Rhode Island. Patient(s) A woman with an unusual heterotopic pregnancy who had had prior bilateral salpingectomies, but delivered a healthy female infant near term after requiring laparotomy for a ruptured left cornual pregnancy 28 days after embryo transfer. Intervention(s) IVF, laparotomy with wedge resection of the left tubal cornu, and near-term cesarean section. Main Outcome Measure(s) Excision of ectopic pregnancy with preservation of intrauterine pregnancy. Result(s) Delivery of a 2920 gram (6 lb, 7 oz) female infant. Conclusion(s) Heterotopic pregnancy may occur after bilateral salpingectomy, but a satisfactory outcome can be obtained in such circumstances after surgical excision of the ectopic gestation and preservation of the intrauterine pregnancy.</description><subject>Adult</subject><subject>bilateral salpingectomy</subject><subject>Cesarean Section</subject><subject>Fallopian Tubes - surgery</subject><subject>Female</subject><subject>Hemorrhage - complications</subject><subject>Heterotopic pregnancy</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Internal Medicine</subject><subject>Obstetrics and Gynecology</subject><subject>Pregnancy</subject><subject>Pregnancy, Ectopic</subject><subject>Term Birth</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu1DAQhiMEokvhFZBP3BJmkjhOLkhQAa1UiQNwthx7vPXiOIudVMrb49WuVIlTLx7Z-uYf-ZuiYAgVAnYfD5WluIS05LOqAUQFWCG2L4odct6VvOPNy2IHgLyEuq-vijcpHQCgQ1G_Lq5QtH2NPd8V-1vKIfMyH51mx0j7oILemLL5lY3Oq1yVZ0n5owt70ss8bSxSWv2S78wFFkjFMlMTM-TdI8WNzZYp9kDKLw9bRqwKy9vilVU-0btLvS5-f_v66-a2vP_x_e7m832pWyGW0qDuDTQarLDAR1TNYPWIFjQ3SjcD0kgDKexb4DgoQWY0vdAdIFkz9KK5Lj6cc49x_rtSWuTkkibvVaB5TbIbgA_Iuwz2Z1DHOaVIVh6jm1TcJII8SZYH-SRZniRLQJkl59b3lxnrOJF5arxYzcCXM0D5p4-OokzaUdBkXMwKpZndc6Z8-i9EexecVv4PbZQO8xpDNilRplqC_Hla9mnXIABqIdrmH432q3M</recordid><startdate>20071201</startdate><enddate>20071201</enddate><creator>Blazar, Andrew S., M.D</creator><creator>Frishman, Gary N., M.D</creator><creator>Winkler, Nurit, M.D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20071201</creationdate><title>Heterotopic pregnancy after bilateral salpingectomy resulting in near-term delivery of a healthy infant</title><author>Blazar, Andrew S., M.D ; Frishman, Gary N., M.D ; Winkler, Nurit, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-d1c8d03c0f7f05b1a39fcb1f0c5dac391ebe9ea1840519a7edbd87c601efd9873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>bilateral salpingectomy</topic><topic>Cesarean Section</topic><topic>Fallopian Tubes - surgery</topic><topic>Female</topic><topic>Hemorrhage - complications</topic><topic>Heterotopic pregnancy</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Internal Medicine</topic><topic>Obstetrics and Gynecology</topic><topic>Pregnancy</topic><topic>Pregnancy, Ectopic</topic><topic>Term Birth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blazar, Andrew S., M.D</creatorcontrib><creatorcontrib>Frishman, Gary N., M.D</creatorcontrib><creatorcontrib>Winkler, Nurit, M.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blazar, Andrew S., M.D</au><au>Frishman, Gary N., M.D</au><au>Winkler, Nurit, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Heterotopic pregnancy after bilateral salpingectomy resulting in near-term delivery of a healthy infant</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2007-12-01</date><risdate>2007</risdate><volume>88</volume><issue>6</issue><spage>1676.e1</spage><epage>1676.e2</epage><pages>1676.e1-1676.e2</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><abstract>Objective To describe an unusual case of heterotopic pregnancy. Design Case report. Setting Division of Reproductive Medicine and Infertility, Women & Infants' Hospital of Rhode Island, Brown Medical School. Providence, Rhode Island. Patient(s) A woman with an unusual heterotopic pregnancy who had had prior bilateral salpingectomies, but delivered a healthy female infant near term after requiring laparotomy for a ruptured left cornual pregnancy 28 days after embryo transfer. Intervention(s) IVF, laparotomy with wedge resection of the left tubal cornu, and near-term cesarean section. Main Outcome Measure(s) Excision of ectopic pregnancy with preservation of intrauterine pregnancy. Result(s) Delivery of a 2920 gram (6 lb, 7 oz) female infant. Conclusion(s) Heterotopic pregnancy may occur after bilateral salpingectomy, but a satisfactory outcome can be obtained in such circumstances after surgical excision of the ectopic gestation and preservation of the intrauterine pregnancy.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>17482185</pmid><doi>10.1016/j.fertnstert.2007.01.114</doi><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
subjects | Adult bilateral salpingectomy Cesarean Section Fallopian Tubes - surgery Female Hemorrhage - complications Heterotopic pregnancy Humans Infant, Newborn Internal Medicine Obstetrics and Gynecology Pregnancy Pregnancy, Ectopic Term Birth |
title | Heterotopic pregnancy after bilateral salpingectomy resulting in near-term delivery of a healthy infant |
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