Table 1 Clinical data of eight patients of tubal HP with heart beaten of extrauterine pregnancy
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 |