Journal of International Reproductive Health/Family Planning ›› 2025, Vol. 44 ›› Issue (1): 21-25.doi: 10.12280/gjszjk.20240403

• Case Report • Previous Articles     Next Articles

Ovarian Pregnancy after Bilateral Salpingectomy: A Case Report

YANG Hua-ju, ZHOU Ying, ZHENG Xue-ting, ZHENG Jie   

  1. Sichuan Jin Xin Xi Nan Women and Children′s Hospital (Bi Sheng Campus), Chengdu 610023, China
  • Received:2024-08-26 Published:2025-01-15 Online:2025-01-22

Abstract:

A case of right ovarian pregnancy was reported. In this case, the patient with a history of bilateral salpingectomy underwent the treatment of assisted reproductive technology. On the 20th day of embryo transfer, an ectopic pregnancy mass in the right ovary was found by transvaginal ultrasound. The laparoscopic surgery was performed in time to remove the ovarian pregnancy tissue and to repair the ovary. The level of β-human chorionic gonadotropin (β-hCG) was decreased satisfactorily after surgery. The diagnosis and treatment process, risk factors and mechanism of ovarian pregnancy were analyzed. Ovarian pregnancy can be an unexpected complication after bilateral salpingectomy in assisted reproductive technology. For the patients undergone bilateral salpingectomy, especially in those patients with multiple embryo transfer, early diagnosis of ovarian pregnancy can be achieved through β-hCG and transvaginal ultrasound, so as to maximize the protection of patients′ fertility.

Key words: Reproductive technology, assisted, Fallopian tubes, excision, Pregnancy, ectopic, Ovarian pregnancy, Case reports