Ectopic Pregnancy of The Tubal Stump After Bilateral Salpingectomy in IVF Patient : A Report Case
Suwandi, Nusratuddin Abdullah, Telly Tessy

Obstetric and Gynaecology Department of Medical Faculty of Hasanuddin University

Abstract

Ectopic pregnancy is a serious health issue during reproductive age women.The incidence of this pregnancies is now estimated to occur in 2 percents of all pregnancies.A 31 years old, para 0 abortion 2 woman got pregnant after in vitro fertilization and embryo transfer on 20th of July 2019.She diagnosed as a case of a right cornual portion of fallopian tube ectopic pregnancy after bilateral salpingectomy done for 2 ectopic pregnancies in December 2017 and March 2018.Laparoscopic was performed with operative findings of rupture ectopic pregnancy within cornual area in the proximal remnant of the right fallopian tube.Excision of the bilateral remnant tube was done.Ectopic pregnancy on the remnant fallopian tube is rare, especially in patient with history of bilateral salpingectomy.Minimizing the length of remnant tube and assesing remnant stump patency are best strategies to prevent another episodes of ectopic pregnancy and prepare a successful IVF pregnancy.

Keywords: ectopic pregnancy, bilateral salpingectomy, in vitro fertilization

Topic: Adolescent and reproductive health