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Case Reports
. 2020 Nov 30;13(11):e235893.
doi: 10.1136/bcr-2020-235893.

Caution with bilateral salpingectomy and consideration of tubal stump ectopic in IVF

Swee Lin Yip  1 , Shahul Hameed Mohamed Siraj  2 , Jerry Kok Yen Chan  3
Affiliations
Case Reports

Caution with bilateral salpingectomy and consideration of tubal stump ectopic in IVF

Swee Lin Yip et al. BMJ Case Rep. .

Abstract

We report a 35-year-old female patient with a history of bilateral salpingectomy from ectopic pregnancies presenting with a positive serum beta-human chorionic gonadotropin (bhCG) result following in vitro fertilisation (IVF) treatment. Apart from per vaginal spotting, she remained asymptomatic. Initial ultrasound showed an empty uterus with a cystic mass on the right side of the uterus. Serum beta-hCG was trended. A follow-up pelvic ultrasound 1 week later showed a live pregnancy in the right adnexa. A diagnostic laparoscopy was performed, which revealed an unruptured right stump ectopic pregnancy that was successfully removed. As a stump ectopic pregnancy can be a potentially life-threatening occurrence, we emphasise caution with salpingectomy and the consideration of tubal stump ectopic pregnancies following IVF treatment.

Keywords: obstetrics and gynaecology; pregnancy; reproductive medicine.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Pre-in vitro fertilisation hysterosalpingography showing absence of bilateral fallopian tubes.
Figure 2
Figure 2
Ultrasound image showing a live right adnexal pregnancy.
Figure 3
Figure 3
Diagnostic laparoscopy showing right stump ectopic pregnancy.
Figure 4
Figure 4
Diagnostic laparoscopy showing normal left ovary and absent left fallopian tube.
Figure 5
Figure 5
Diagnostic hysteroscopy showing normal uterine cavity.
Figure 6
Figure 6
Post removal of ectopic and repair. Of note is the absence of the right fallopian tube.
See this image and copyright information in PMC

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