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