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Rare Double Pregnancy: IVF Patient Survives Ruptured Ectopic
10 Nov
Summary
- Woman conceived via IVF had uterine and tubal pregnancies simultaneously.
- Surgeons successfully treated a ruptured ectopic pregnancy and saved the uterine one.
- The patient recovered well after emergency laparoscopic surgery to remove the fallopian tube.
Doctors successfully treated a 32-year-old woman for a rare heterotopic pregnancy, where she was carrying twins simultaneously – one inside her uterus and another in her fallopian tube. This IVF patient was 11 weeks pregnant when the tubal pregnancy ruptured, causing significant internal bleeding.
The emergency laparoscopic surgery involved removing the ruptured fallopian tube and clearing approximately 800 ml of blood and clots from her abdomen. The procedure was made more complex by endometriosis-related adhesions that obscured the fallopian tube.
Doctors managed to control the bleeding and remove the ectopic pregnancy while carefully protecting the ongoing uterine pregnancy. The patient experienced an uneventful recovery and was discharged in stable condition, with follow-up scans planned to monitor her pregnancy.
This case underscores the importance of prompt evaluation for persistent pain or bleeding in early pregnancy, even after an intrauterine pregnancy is confirmed, especially in those conceived via assisted reproductive techniques.
