Interstitial ectopic pregnancy after in vitro fertilization in a case of recurrent implantation failure with repeated hydrosalpinx: Aftermath of multiple surgeries

Abstract

Abstract Among tubal ectopic, interstitial ectopic constitutes a rare and difficult diagnostic entity occurring in nearly 5% of tubal ectopic cases.[1,2] It can lead to massive hemorrhage and possibly uterine rupture in the second trimester if not rightly diagnosed. This is a rare case of premature ovarian failure with a history of multiple surgeries on bilateral ovaries owing to the presence of ovarian cysts. The patient underwent 4 donor in vitro fertilization cycles with 3 fresh embryo transfers and two frozen embryo transfers. She was positive with the last straw of embryos; however, it ended up as interstitial ectopic pregnancy diagnosed ultrasonographically and managed medically.