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Table 2 Clinical data of fifteen patients of tubal HP with adnexal mass

From: Clinical analysis of 50 patients with heterotopic pregnancy after ovulation induction or embryo transfer

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