Table 1 Review of the cases of HP after SET
Case 1 [4] | Case 2 [5] | Case 3 [6] | Case 4 [7] | our case | |
|---|---|---|---|---|---|
Age | 34 | 39 | 40 | 33 | 30 |
Gestational week of intrauterine pregnancy | 11 weeks | 7 weeks and 5 days | 5 weeks and 2days | 6 weeks | 7 weeks and 6 days |
Extrauterine pregnancy sac size | Not described | 51 *40 mm | 19mm | Not described | 50*43mm |
Gestational week of extrauterine pregnancy(Based on the size of the ectopic pregnancy sac) | Not described | 5weeks | 3weeks | Not described | 5weeks |
Past medical history | diabetes, ovarian hyperstimulation syndrome | Twice cesarean section | primary infertility,pelvic inflammatory disease | Left salpingectomy for EP, hyperthyroidism | Left adnexectomy, primary infertility |
ART method | Fresh ET | FET | FET | FET | FET |
Sexual intercourse | (+) | (+) | (+) | (+) | (+) |
Ultrasonographic findings | A conspicuous amount of intra-abdominal fluid with several blood clots were present. The ovaries were still increased in volume | A mass with a diameter of 51 x 40 mm was detected at the right adnexa | A dilated tubular structure of 1.9-cm-thickness in the right lower quadrant of her abdomen | Ascites | An uneven echo mass in the right adnexal area about 3.1 x 3.1cm, and a deep effusion of about 2cm behind the uterus. |
Clinical symptoms | Hypotension, abdominal pain, weak peripheral artery pulsation, pale skin and cold extremities | Lower abdominal pain and vaginal bleeding | Lower quadrant colicky pain | Abdominal pain | Hypotension, abdominal pain, weak peripheral artery pulsation, pale skin and cold extremities |
Treament | Laparoscopic right salpingectomy | Laparoscopic right salpingectomy | Laparoscopic right salpingectomy | Laparoscopic left salpingectomy and interstitial wedge resection | Laparoscopic right salpingectomy |
Outcome | Pregnancy termination at 23 weeks of gestation because of fetal anomaly | Intrauterine fetal death at 19 weeks of gestation | Transvaginal delivery at 39 weeks of gestation | Cesarean section at 36 weeks of gestation | Cesarean section at 39 weeks of gestation |