Monochorionic diamniotic twin cervical ectopic pregnancy following assisted conception: a case report

Ectopic pregnancy is a leading cause of maternal mortality. Its incidence has progressively increased in recent years. Assisted conception techniques are associated with a significantly higher rate of ectopic pregnancies. Cervical ectopic pregnancies are very rare, accounting for < 1% of all ecto...

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Bibliographic Details
Published in:	Journal of reproductive medicine Vol. 58; no. 9-10; pp. 445 - 447
Main Authors:	Anev, Ivan, Wang, Jean, Palep-Singh, Manisha, Seif, Mourad W
Format:	Journal Article
Language:	English
Published:	United States 01-09-2013
Subjects:	Adult Cervix Uteri Chorionic Gonadotropin, beta Subunit, Human - blood Female Fertilization in Vitro - adverse effects Humans Pregnancy Pregnancy, Ectopic - diagnostic imaging Pregnancy, Ectopic - etiology Pregnancy, Ectopic - therapy Pregnancy, Twin Single Embryo Transfer - adverse effects Twins Ultrasonography, Prenatal
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Summary:	Ectopic pregnancy is a leading cause of maternal mortality. Its incidence has progressively increased in recent years. Assisted conception techniques are associated with a significantly higher rate of ectopic pregnancies. Cervical ectopic pregnancies are very rare, accounting for < 1% of all ectopic pregnancies. A 41-year-old, Caucasian woman presented for routine transvaginal scan at 6 weeks' gestation following a single embryo transfer as part of in vitro fertilization (IVF) follow-up. This revealed a monochorionic diamniotic twin pregnancy within the cervix. Serum beta-hCG concentration was 18,470 IU/L, and she reported only a mild brown-stained vaginal discharge. She was counseled regarding the risks of this pregnancy and was managed medically, receiving oral mifepristone and systemic methotrexate. She was subsequently monitored with serial serum beta-hCG measurements and transvaginal ultrasonography. After 6 weeks, due to the slow serum beta-hCG decline and lack of spontaneous menstruation, she was counseled regarding the potential risks of the persistent pregnancy and underwent suction evacuation. This case is an example of a complication of LVF. To the best of our knowledge and following a search of the Medline database, this is the only case of monochorionic twin pregnancy located within the cervical canal.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0024-7758