Background
Patients and methods
Case | Fertilization way (embryo type and number if ET) | Gestational age (days after ET or intercourse) | Clinical symptoms | Presentation and outcome of IUP | Extrauterine pregnancy presentation | Bilateral fallopian tubes | EP site + treatment |
---|---|---|---|---|---|---|---|
1 | IVF-ET (fresh 2) | 26 | Vaginal bleeding 5 days | CRL 0.4 cm, heart beaten | Left adnexal mass 5 cm, CRL 0.3 cm with heart beaten | Chronic inflammation by HSG | Ampullary + laparoscopy salpingectomy |
2 | IVF-ET (frozen 3) | 39 | Vaginal bleeding 18 days | CRL 0.8 cm, heart beaten | Right adnexal mass 3 cm, CRL 1.0 cm with heart beaten | Bilateral unobstructed by HSG | Ampullary + laparoscopy salpingectomy |
3 | IVF-ET (fresh 2) | 26 | Vaginal bleeding 10 days | CRL 0.2 cm, heart beaten | Left adnexal mass, CRL 0.2 cm with week heart beaten | Right salpingectomy for EP | Ampullary + laparoscopy salpingectomy |
4 | IVF-ET (frozen 2) | 52 | Lower abdominal pain 2 days | CRL 3.5 cm, heart beaten | Right adnexal mass 5 cm CRL 2.7 cm, with heart beaten | Bilateral tubal inflammation | Ampullary + laparotomy salpingectomy |
5 | IVF-ET (frozen 3) | 23 | Vaginal bleeding 6 days and abdominal pain 1 day | CRL 0.4 cm, heart beaten | Right adnexal mass 4 cm, CRL 0.4 cm with heart beaten | Bilateral unobstructed by HSG | Ampullary + laparotomy salpingectomy |
6 | IVF-ET (unknown) | 32 | Bleeding and pain 4 days | CRL 0.7 cm, heart beaten | Right adnexal mass, CRL 0.5 and 0.4 cm both with heart beaten | Left salpingectomy and right obstructed by HSG | Ampullary + laparoscopy salpingectomy |
7 | IVF-ET (fresh 2) | 54 | Asymptomatic, routine ultrasound test found | CRL 3.2 CM, heart beaten | Left adnexal mass 7 cm CRL 1.8 cm with heart beaten | Left salpingostomy and right salpingectomy both for EP | Ampullary + laparotomy salpingectomy |
8 | Ovulation induction + spontaneous | 38 | Asymptomatic, routine ultrasound test found | CRL 1.9 cm, heart beaten | Right adnexal mass 3 cm, yolk sac without embryonic pole | Bilateral tubal unobstructed by laparoscopy hydrotubation | Ampullary + laparotomy salpingectomy |
Case | Fertilization way (embryo type and number if ET) | Gestational age (days after ET or intercourse) | Clinical symptoms | Presentation and outcome of IUP | Extrauterine pregnancy presentation | Bilateral fallopian tubes | EP site + treatment |
---|---|---|---|---|---|---|---|
9 | IVF-ET (fresh 2) | 30 | Vaginal bleeding 12 days | CRL 0.9 cm, heart beaten | Right adnexal mass 5 cm | Left salpingostomy for hydrops | Ampullary + laparotomy bilateral salpingectomy |
10 | IVF-ET (fresh 3) | 29 | Vaginal bleeding 2 days | CRL 0.4 cm, heart beaten | Left adnexal mass 2 cm | No abnormalities by laparoscope | Ampullary + laparotomy salpingectomy |
11 | IVF-ET (frozen 2) | 38 | Vaginal bleeding 3 days | CRL 0.7 cm, heart beaten | Left adnexal mass 3.5 cm | Left chronic inflammation while right normal by HSG | Tubal + laparotomy salpingectomy |
12 | Ovulation induction + IUI | 52 | Vaginal bleeding 30 days | CRL 2.2, 2.4 cm, both with heart beaten | Left adnexal mass 7 cm | Bilateral tubal inflammation but not obstructed by HSG | Tubal + laparoscopy salpingectomy |
13 | IVF-ET (unknown) | 35 | Vaginal bleeding | CRL 0.2 cm, week heart beaten → live birth | Right adnexal mass 3 cm | Secondary infertility | Tubal + laparotomy salpingectomy |
14 | IVF-ET (fresh 2) | 21 | Right hypogastrium dull pain 1 day | CRL 0.5 cm, heart beaten | Right adnexal mass 6 cm | Left salpingostomy for EP | Ampullary + laparotomy bilateral salpingectomy |
15 | IVF-ET (frozen 2) | 35 | Lower abdominal bulge 12 h | CRL 1.1 cm, heart beaten | Right adnexal mass 7 cm | Bilateral tubal repair surgery for EP | Tubal + laparotomy salpingectomy |
16 | IVF-ET (frozen 2) | 31 | Lower abdominal pain 1 day | CRL 1.5 cm, heart beaten | Left adnexal mass 3 cm | Right salpingostomy for EP and bilateral salpingostomy 1 year later | Tubal + laparotomy salpingectomy and contralateral tubal cutoff |
17 | IVF-ET (frozen 2) | 53 | Left abdominal pain 1 h | CRL 3.6 cm, heart beaten | Left fundus mass 4 cm | Right salpingectomy for EP and left tubal obstructed | Tubal + laparoscopy salpingectomy |
18 | Ovulation induction + IUI | 30 | Vaginal bleeding 2 times and abdominal pain 1 day | Yolk sac without embryonic pole → live birth | Left adnexal mass 6.5 cm | Bilateral unobstructed by HSG | Ampullary + laparotomy salpingectomy for ruption abdominal haematocele 800 ml |
19 | Ovulation induction + spontaneous | 33 | Vaginal bleeding 1 day and abdominal pain 6 h | CRL 0.2 cm, heart beaten | Right adnexal mass 6.5 cm | Bilateral unobstructed by HSG | Ampullary + laparoscopy salpingectomy |
20 | Ovulation induction + spontaneous | 40 | Asymptomatic, routine ultrasound test found | CRL 0.7 cm, heart beaten | Right adnexal mass 3 cm | Left salpingectomy for EP | Tubal ampullary + laparoscopy salpingectomy |
21 | IVF-ET (frozen 3) | 30 | Asymptomatic, routine ultrasound test found | Both CRL 2.1 cm, heart beaten | Right adnexal mass 3 cm | History of pelvic surgery | Ampullary + laparotomy salpingectomy |
22 | IVF-ET (fresh 2) | 28 | Asymptomatic, routine ultrasound test found | CRL 0.2 cm, week heart beaten → live birth | Right adnexal mass 4 cm | History of pelvic surgery | Tubal + laparotomy salpingectomy |
23 | IVF-ET (fresh 2) | 22 | Haemorrhagic shock | Yolk sac without embryonic pole → live birth | Right adnexal mass 3 cm | Ampullary + laparoscopy salpingectomy |
Case | Fertilization way (embryo type and number if ET) | Gestational age (days after ET or intercourse) | Clinical symptoms | Presentation and outcome of IUP | Extrauterine pregnancy presentation | Bilateral fallopian tubes | EP site + treatment |
---|---|---|---|---|---|---|---|
24 | IVF-ET (unknown) | 27 | Vaginal bleeding 1 day | Abortion | Right adnexal mass 3 cm, CRL 0.2 cm with heart beaten | Chronic inflammation by laparoscope | Tubal + laparoscopy salpingectomy |
25 | IVF-ET (fresh 2) | 32 | Vaginal bleeding 7 days | Yolk sac without embryonic pole → abortion | Right adnexal mass, CRL 0.5 cm with heart beaten | Right salpingectomy and left salpingostomy both for EP | Ampullary + laparoscopy salpingectomy |
26 | IVF-ET (fresh 3) | 27 | Asymptomatic, routine ultrasound test found | Yolk sac without embryonic pole → missed abortion | Right adnexal mass 2 cm CRL 0.2 cm with heart beaten | Tubal infertility | Tubal + laparoscopy salpingectomy |
27 | IVF-ET (frozen 2) | 58 | Nausea and vomiting | CRL 3.2 cm, with heart beaten 3 weeks ago → missed abortion | CRL 2.6 cm without heart beaten hemoperitoneum | Bilateral obstructed by laparoscope | Ampullary + laparotomy salpingectomy, abdominal haematocele 2000 ml |
Case | Fertilization way (embryo type and number if ET) | Gestational age (days after ET or intercourse) | Clinical symptoms | Presentation and outcome of IUP | Extrauterine pregnancy presentation | Bilateral fallopian tubes | EP site + treatment |
---|---|---|---|---|---|---|---|
28 | Ovulation induction + spontaneous | 31 | Vaginal bleeding 3 times | CRL 1.4 cm, heart beaten | Cervical canal mass CRL 1.2 cm with heart beaten | Bilateral unobstructed by HSG | Cervical + local 10% KCL 10 ml + MTX 40 mg |
29 | IVF-ET (unknown) | 30 | Vaginal bleeding 11 days | CRL 0.72 cm, heart beaten | Right cornual mass, CRL 0.61 cm with heart beaten | Double salpingectomy | Interstitial + local MTX 30 mg |
30 | IVF-ET (unknown) | 36 | Vaginal bleeding 1 day | CRL 0.9 cm, heart beaten | Right cornual mass 3 cm, CRL 0.75 cm with heart beaten | Unknown | Interstitial + local MTX 30 mg → cornual resection 3 weeks later for mass enlargement |
31 | IVF-ET (fresh 2) | 45 | Vaginal bleeding 2 days | CRL 2.45 cm, heart beaten | Right cornual mass 4 cm | Bilateral tubal obstructed by HSG | Interstitial + sunction and local MTX 20 mg |
32 | IVF-ET (frozen 3) | 30 | Left abdominal pain 22 days | CRL 0.9 and 0.8 cm, both with heart beaten | Right adnexal mass 2 cm, CRL 0.7 cm with heart beaten | Right salpingectomy for EP | Tubal stumps + sunction and local MTX 20 mg → laparotomy tubal stumps resection for mass ruption |
33 | IVF-ET (frozen 2) | 51 | Seldom hypogastrium dull pain 34 days | CRL 3.0 cm, heart beaten | Right adnexal CRL 0.3 cm without heart beaten | Right salpingectomy and left tubal chronic inflammation | Interstitial + sunction and local MTX 20 mg |
34 | IVF-ET (frozen 3) | 33 | Asymptomatic, routine ultrasound test found | Both CRL 1.1 cm, heart beaten | Left cornual mass 4 cm, CRL 0.7 cm with heart beaten | Bilateral salpingectomy both for EP | Interstitial + sunction and local MTX 20 mg → cornual resection 2 weeks later for mass ruption |
35 | IVF-ET (frozen 3) | 32 | Asymptomatic, routine ultrasound test found | CRL 1.1 cm, heart beaten | Right cornual CRL 0.6 cm with heart beaten | Right salpingectomy and left tubal cutoff for infertility | Cornual EP + sunction by US and local MTX 20 mg |
36 | IVF-ET (fresh 2) | 33 | Asymptomatic, routine ultrasound test found | CRL 0.9 cm, heart beaten | Right cornual CRL 0.7 cm with heart beaten | Left salpingectomy for EP | Cornual EP + sunction by US |
Case | Fertilization way (embryo type and number if ET) | Gestational age (days after ET or intercourse) | Clinical symptoms | Presentation and outcome of IUP | Extrauterine pregnancy presentation | Bilateral fallopian tubes | EP site + treatment |
---|---|---|---|---|---|---|---|
37 | IVF-ET (fresh 2) | 28 | Vaginal bleeding 24 days | CRL 0.3 cm, heart beaten | Right adnexal mass 2 cm CRL 0.2 cm without heart beaten | Right salpingectomy and left ligament for EP | Tubal stumps + laparotomy tubal stumps resection |
38 | IVF-ET (frozen 2) | 18 | Vaginal bleeding 12 days | Yolk sac without embryonic pole → live birth | Left adnexal mass 7 cm, yolk sac without embryonic pole | Left isthmus ligament | Tubal stumps + laparotomy tubal stumps and part cornual resection |
39 | IVF-ET (fresh 2) | 57 | Vaginal bleeding 3 days | CRL 3.7 cm, heart beaten | Left cornual CRL 3.2 cm with heart beaten (3 weeks later) | Bilateral tubal unobstructed by HSG, history of pelvic surgery | Interstitial + laparotomy salpingectomy and part cornual resection |
40 | IVF-ET (frozen 3) | 26 | Abdominal pain 3 day | CRL 0.2 cm, heart beaten | Left adnexal mass 4 cm | Bilateral salpingectomy for EP | posterior uterine + laparotomy mass removal, abdominal haematocele 1400 ml |
41 | IVF-ET (unknown) | > 70 | Abdominal pain and vaginal bleeding 12 + days | CRL 4.7 cm, heart beaten | Left fundus mass 5 cm | Left tubal hydrosalpinx | Interstitial + laparotomy salpingectomy and cornual resection |
42 | IVF-ET (fresh 2) | 46 | Vaginal bleeding and abdominal distension 6 days | CRL 0.3 cm, live birth→missed abortion | Right adnexal mass 4 cm, CRL1.8 cm without heart beaten | Bilateral salpingectomy | Cornual EP ruption + laparotomy cornual removal,abdominal haematocele 2000 ml |
43 | IVF-ET (unknown) | 22 | Vaginal bleeding 11 days and abdominal pain 3 days | Abortion | Mass behind uterus 9 cm | Bilateral unobstructed by laparoscope | Abdominal gestation + laparotomy mass removal |
44 | IVF-ET (frozen 3) | 39 | Asymptomatic, routine ultrasound test found | CRL 0.4 cm without heart beaten → missed abortion | Right cornual mass 2.5 cm | Right salpingectomy for EP and left salpingostomy for hydrosalpinx | Interstitial + laparoscopy part cornual resection and local MTX 20 mg |
45 | Ovulation induction + spontaneous | > 63 | Asymptomatic, routine ultrasound test found | CRL 2.6 cm, heart beaten | Right interstitial portion mass 5 cm CRL 2.4 cm, with heart beaten | Left tubal obstructed and right tubal unobstructed by HSG | Interstitial + laparotomy salpingectomy and part cornual resection |
46 | IVF-ET (frozen 2) | 32 | Asymptomatic, routine ultrasound test found | CRL 0.6 cm, heart beaten | Left cornual CRL 0.7 cm with heart beaten | Left salpingectomy and right tubal repair surgery | Interstitial + laparotomy part cornual resection |
47 | IVF-ET (frozen 2) | 35 | Asymptomatic, routine ultrasound test found | CRL 1.2 cm, heart beaten | Right cornual CRL 0.7 cm with heart beaten | Right salpingectomy and cornual resection both for EP | Cornual–interstitial EP + laparotomy salpingostomy |
48 | IVF-ET (fresh 2) | 36 | Asymptomatic, routine ultrasound test found | CRL 1.1 cm, heart beaten | Right cornual CRL 1.1 cm with heart beaten | Bilateral salpingectomy | Cornual ruption + laparotomy cornual resection |
49 | IVF-ET (frozen 3) | 38 | Asymptomatic, routine ultrasound test found | CRL 1.2 cm, heart beaten | Right adnexal mass 3 cm | Bilateral tubal obstructed by HSG | Interstitial + laparotomy salpingectomy and cornual resection |
50 | Ovulation induction + spontaneous | 30 | Nausea and vomiting | CRL 3.1, 3.2, 4.4 and 1.9 cm all with heart beaten | Right adnexal mass 3 cm | Ovulation induction for PCOS and bilateral tubal unobstructed by HSG | Isthmic EP ruption + laparotomy salpingectomy, abdominal haematocele 2000 ml |