Simultaneous Occurrence of Ectopic Pregnancy in Both Fallopian Tubes and Live Intrauterine Fetus Following the Use of Ovulation Induction Medications: A Case Report

The simultaneous occurrence of ectopic pregnancy in both fallopian tubes and a live intrauterine fetus is very rare. The increase in the use of reproductive technology methods has caused an increase in the prevalence of this type of pregnancy. The aim of this study is to report a case of simultaneous occurrence of ectopic pregnancy in both fallopian tubes and live intrauterine fetus following the use of ovulation induction medications.

Case Report: 

The patient was a 29-year-old pregnant woman in her 7th week of pregnancy with a one-year history of infertility and the use of ovulation induction medications, with a transvaginal ultrasound report a week ago, live intrauterine pregnancy (6th week) and normal fallopian tubes, and complaints of vaginal bleeding. In repeated ultrasound, a live fetus was seen in the uterus (7 weeks and three days) and a live fetus in the left adnexa (7 weeks and three days), and the right adnexa was normal. The patient underwent laparoscopy. An incidental finding during surgery was the presence of ectopic pregnancy in both tubes. Left salpingectomy and right salpingostomy were performed and progesterone suppositories were prescribed to maintain intrauterine pregnancy. One week after the surgery, the fetus was observed without a heartbeat in the control ultrasound.

Based on the results of this report, the correct use of assisted reproductive methods, control of infertile patients under the supervision of infertility centers, and accurate ultrasounds due to the possibility of heterotopic pregnancy in high-risk patients are necessary.