Primary omental ectopic pregnancy after frozen-thawed single embryo transfer: A case report and review of the literature-Reference-Cited by-同舟云学术

Primary omental ectopic pregnancy after frozen-thawed single embryo transfer: A case report and review of the literature

Published:2024-04-18 Issue:1 Volume:10 Page:23-28
ISSN:2582-0249
Container-title:Journal of Case Reports and Images in Obstetrics and Gynecology
language:en
Short-container-title:J Case Rep Images Obstet Gynecol

Author:

Koniares Katherine¹,Godiwala Prachi²,Benadiva Claudio³,DiLuigi Andrea⁴

Affiliation:

1. Fellow, The Center for Advanced Reproductive Services, Department of Obstetrics and Gynecology, University of Connecticut School of Medicine, Farmington, Connecticut, USA

2. Clinical Instructor, The Center for Advanced Reproductive Services, Department of Obstetrics and Gynecology, University of Connecticut School of Medicine, Farmington, Connecticut, USA

3. Clinical Professor, The Center for Advanced Reproductive Services, Department of Obstetrics and Gynecology, University of Connecticut School of Medicine, Farmington, Connecticut, USA

4. Assistant Clinical Professor, The Center for Advanced Reproductive Services, Department of Obstetrics and Gynecology, University of Connecticut School of Medicine, Farmington, Connecticut, USA

Abstract

Introduction: The objective of this case report is to present the first known case of a primary omental ectopic pregnancy following frozen-thawed embryo transfer. Case Report: A 35-year-old G0 female with severe male factor infertility underwent a frozen-thawed single embryo transfer. Serial transvaginal ultrasounds and beta human chorionic gonadotropin levels led to the diagnosis of ectopic pregnancy. The patient did not respond to medical management with methotrexate. On laparoscopy, an ectopic pregnancy was diagnosed on the greater omentum. The pregnancy was resected with the LigaSure device. Pathology evaluation was consistent with an omental ectopic pregnancy. Conclusion: Although rare, omental ectopic pregnancy should remain in the differential in the setting of a pregnancy of unknown location.

Publisher

Edorium Journals Pvt. Ltd.

Reference19 articles.

1. Li Z, Sullivan EA, Chapman M, Farquhar C, Wang YA. Risk of ectopic pregnancy lowest with transfer of single frozen blastocyst. Hum Reprod 2015;30(9):2048–54.

2. Clayton HB, Schieve LA, Peterson HB, Jamieson DJ, Reynolds MA, Wright VC. Ectopic pregnancy risk with assisted reproductive technology procedures. Obstet Gynecol 2006;107(3):595–604.

3. Bouyer J, Coste J, Fernandez H, Pouly JL, Job-Spira N. Sites of ectopic pregnancy: A 10 year population-based study of 1800 cases. Hum Reprod 2002;17(12):3224–30.

4. Practice Committee of American Society for Reproductive Medicine. Medical treatment of ectopic pregnancy: A committee opinion. Fertil Steril 2013;100(3):638–44.

5. Barrenetxea G, Barinaga-Rementeria L, Lopez de Larruzea A, Agirregoikoa JA, Mandiola M, Carbonero K. Heterotopic pregnancy: Two cases and a comparative review. Fertil Steril 2007;87(2):417. e9–15.