Author/Authors :
Kahyaoğlu, İnci Zekai Tahir Burak Women s Health Teaching and Research Hospital - Department of Obstetrics and Gynecology, Turkey , Kahyaoğlu, Serkan Zekai Tahir Burak Women s Health Teaching and Research Hospital - Department of Obstetrics and Gynecology, Turkey , Müftüoğlu, Kamil Zekai Tahir Burak Women s Health Teaching and Research Hospital - Department of Obstetrics and Gynecology, Turkey , Şengül, İlker Giresun University - School of Medicine - Department of General Surgery, Turkey , Şengül, Demet Prof. Dr. A. İlhan Özdemir State Hospital - Pathology Clinic, Turkey , Önen, Şahin Kızıltepe State Hospital - Obstetrics and Gynecology Clinic, Turkey , Mollamahmutoğlu, Leyla Zekai Tahir Burak Women s Health Teaching and Research Hospital - Department of Obstetrics and Gynecology, Turkey , Batıoğlu, Sertaç Zekai Tahir Burak Women s Health Teaching and Research Hospital - Department of Obstetrics and Gynecology, Turkey
Abstract :
Endometriosis is often associated with female infertility and exhibits a massive impairment in the physiology of uterine contractility that interferes with sperm and/or embryo movements. We present an unusual case of bilateral tubal pregnancy during an Invitro Fertilization-Embryo Transfer (IVF-ET) procedure in a tubal endometriosis patient. Bilateral tubal ampullary ectopic pregnancies, 20-30 milimeters in diameter were diagnosed during laparoscopic examination and bilateral salpingectomy was performed. Endometriotic implants were detected pathologically on mucosal surfaces of both tubes demonstrating the possible deleterious effect of endometriosis on embryo movement. Tubal mucosal environment containing endometriotic implants may behave like original uterine endometrium for ectopic tubal implantation of transferred embryos. However, we think that in order to decrease the probability for tubal implantation of transferred embryos; consideration of bilateral tubal closure or salpingectomy for patients with endometriosis before proceeding to an IVF-ET procedure may be useful.
NaturalLanguageKeyword :
Pregnancy , ectopic , endometriosis , embryo transfer
