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Kim, Kang, Lee, Kim, Park, and Song: A case of bilateral tubal pregnancy in woman with ovulation induction by clomiphene citrate
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(11): 890-893.

Published online: 16 November 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.11.890

A case of bilateral tubal pregnancy in woman with ovulation induction by clomiphene citrate

Sung Woo Kim, MD, Min Ji Kang, MD, Yoo Kyung Lee, MD, PhD, Jae Weon Kim, MD, PhD, Noh-Hyun Park, MD, PhD, Yong-Sang Song, MD, PhD

Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.

Corresponding author: Yoo Kyung Lee, MD, PhD. Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Korea. Tel: +82-2-2072-2388, Fax: +82-2-762-3599, yookyung@snu.ac.kr

Received 31 May 2012       Revised 9 July 2012       Accepted 13 August 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bilateral simultaneous tubal pregnancy is a rare clinical event. The estimated incidence of bilateral simultaneous tubal pregnancy is 1/200,000 of live births following natural conception and 1/725 to 1/1,580 of all extrauterine pregnancies. Recently, the incidence has increased, because both pelvic inflammatory disease and the use of assisted fertility have become more common. We report a case of bilateral tubal pregnancy managed with unilateral salpingectomy and conservative methotrexate treatment in woman with ovulation induction by clomiphene citrate.

Keywords: Clomiphene, Ovulation induction, Pregnancy, Tubal

Figures and Tables

Fig. 1
Preoperative transvaginal ultrasonographic finding, tubal bulging sign, represents left tubal pregnancy.
kjog-55-890-g001
Fig. 2
Initial laparoscopic findings during operation were as follows. (A) Unruptured left tubal pregnancy in the ampullary portion of left fallopian tube. (B) Ruptured right tubal pregnancy in the ampullary portion of right fallopian tube. LO, left ovary; LS, left salpinx; LTP, left tubal pregnancy; RO, right ovary; RS, right salpinx; RTP, right tubal pregnancy; UT, uterus.
kjog-55-890-g002
Fig. 3
Serial beta human chorionic gonadotropin level was demonstrated. β-hCG, β-human chorionic gonadotropin; MTX, methotrexate; POD, postoperative day.
kjog-55-890-g003

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ORCID iDs

Jae Weon Kim
https://orcid.org/http://orcid.org/0000-0003-1835-9436

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