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Table 4 Clinical data of ninth patients with special site HP treated with suction and/or local injection

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
28 Ovulation induction  + spontaneous 31 Vaginal bleeding 3 times CRL 1.4 cm, heart beaten Cervical canal mass CRL 1.2 cm with heart beaten Bilateral unobstructed by HSG Cervical + local 10% KCL 10 ml + MTX 40 mg
29 IVF-ET (unknown) 30 Vaginal bleeding 11 days CRL 0.72 cm, heart beaten Right cornual mass, CRL 0.61 cm with heart beaten Double salpingectomy Interstitial + local MTX 30 mg
30 IVF-ET (unknown) 36 Vaginal bleeding 1 day CRL 0.9 cm, heart beaten Right cornual mass 3 cm, CRL 0.75 cm with heart beaten Unknown Interstitial + local MTX 30 mg → cornual resection 3 weeks later for mass enlargement
31 IVF-ET (fresh 2) 45 Vaginal bleeding 2 days CRL 2.45 cm, heart beaten Right cornual mass 4 cm Bilateral tubal obstructed by HSG Interstitial + sunction and local MTX 20 mg
32 IVF-ET (frozen 3) 30 Left abdominal pain 22 days CRL 0.9 and 0.8 cm, both with heart beaten Right adnexal mass 2 cm, CRL 0.7 cm with heart beaten Right salpingectomy for EP Tubal stumps + sunction and local MTX 20 mg → laparotomy tubal stumps resection for mass ruption
33 IVF-ET (frozen 2) 51 Seldom hypogastrium dull pain 34 days CRL 3.0 cm, heart beaten Right adnexal CRL 0.3 cm without heart beaten Right salpingectomy and left tubal chronic inflammation Interstitial + sunction and local MTX 20 mg
34 IVF-ET (frozen 3) 33 Asymptomatic, routine ultrasound test found Both CRL 1.1 cm, heart beaten Left cornual mass 4 cm, CRL 0.7 cm with heart beaten Bilateral salpingectomy both for EP Interstitial + sunction and local MTX 20 mg → cornual resection 2 weeks later for mass ruption
35 IVF-ET (frozen 3) 32 Asymptomatic, routine ultrasound test found CRL 1.1 cm, heart beaten Right cornual CRL 0.6 cm with heart beaten Right salpingectomy and left tubal cutoff for infertility Cornual EP + sunction by US and local MTX 20 mg
36 IVF-ET (fresh 2) 33 Asymptomatic, routine ultrasound test found CRL 0.9 cm, heart beaten Right cornual CRL 0.7 cm with heart beaten Left salpingectomy for EP Cornual EP + sunction by US