Table 2 Clinical data of fifteen patients of tubal HP with adnexal mass
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 |
|---|---|---|---|---|---|---|---|
9 | IVF-ET (fresh 2) | 30 | Vaginal bleeding 12 days | CRL 0.9 cm, heart beaten | Right adnexal mass 5 cm | Left salpingostomy for hydrops | Ampullary + laparotomy bilateral salpingectomy |
10 | IVF-ET (fresh 3) | 29 | Vaginal bleeding 2 days | CRL 0.4 cm, heart beaten | Left adnexal mass 2 cm | No abnormalities by laparoscope | Ampullary + laparotomy salpingectomy |
11 | IVF-ET (frozen 2) | 38 | Vaginal bleeding 3 days | CRL 0.7 cm, heart beaten | Left adnexal mass 3.5 cm | Left chronic inflammation while right normal by HSG | Tubal + laparotomy salpingectomy |
12 | Ovulation induction + IUI | 52 | Vaginal bleeding 30 days | CRL 2.2, 2.4 cm, both with heart beaten | Left adnexal mass 7 cm | Bilateral tubal inflammation but not obstructed by HSG | Tubal + laparoscopy salpingectomy |
13 | IVF-ET (unknown) | 35 | Vaginal bleeding | CRL 0.2 cm, week heart beaten → live birth | Right adnexal mass 3 cm | Secondary infertility | Tubal + laparotomy salpingectomy |
14 | IVF-ET (fresh 2) | 21 | Right hypogastrium dull pain 1 day | CRL 0.5 cm, heart beaten | Right adnexal mass 6 cm | Left salpingostomy for EP | Ampullary + laparotomy bilateral salpingectomy |
15 | IVF-ET (frozen 2) | 35 | Lower abdominal bulge 12 h | CRL 1.1 cm, heart beaten | Right adnexal mass 7 cm | Bilateral tubal repair surgery for EP | Tubal + laparotomy salpingectomy |
16 | IVF-ET (frozen 2) | 31 | Lower abdominal pain 1 day | CRL 1.5 cm, heart beaten | Left adnexal mass 3 cm | Right salpingostomy for EP and bilateral salpingostomy 1 year later | Tubal + laparotomy salpingectomy and contralateral tubal cutoff |
17 | IVF-ET (frozen 2) | 53 | Left abdominal pain 1 h | CRL 3.6 cm, heart beaten | Left fundus mass 4 cm | Right salpingectomy for EP and left tubal obstructed | Tubal + laparoscopy salpingectomy |
18 | Ovulation induction + IUI | 30 | Vaginal bleeding 2 times and abdominal pain 1 day | Yolk sac without embryonic pole → live birth | Left adnexal mass 6.5 cm | Bilateral unobstructed by HSG | Ampullary + laparotomy salpingectomy for ruption abdominal haematocele 800 ml |
19 | Ovulation induction + spontaneous | 33 | Vaginal bleeding 1 day and abdominal pain 6 h | CRL 0.2 cm, heart beaten | Right adnexal mass 6.5 cm | Bilateral unobstructed by HSG | Ampullary + laparoscopy salpingectomy |
20 | Ovulation induction + spontaneous | 40 | Asymptomatic, routine ultrasound test found | CRL 0.7 cm, heart beaten | Right adnexal mass 3 cm | Left salpingectomy for EP | Tubal ampullary + laparoscopy salpingectomy |
21 | IVF-ET (frozen 3) | 30 | Asymptomatic, routine ultrasound test found | Both CRL 2.1 cm, heart beaten | Right adnexal mass 3 cm | History of pelvic surgery | Ampullary + laparotomy salpingectomy |
22 | IVF-ET (fresh 2) | 28 | Asymptomatic, routine ultrasound test found | CRL 0.2 cm, week heart beaten → live birth | Right adnexal mass 4 cm | History of pelvic surgery | Tubal + laparotomy salpingectomy |
23 | IVF-ET (fresh 2) | 22 | Haemorrhagic shock | Yolk sac without embryonic pole → live birth | Right adnexal mass 3 cm | Ampullary + laparoscopy salpingectomy |