Challenges in diagnosis and management of heterotopic pregnancy after frozen embryo transfer: A case report

Tóm tắt

   Background: Heterotopic pregnancy (HP), a rare but high-risk complication where one embryo implants intrauterine while another implants ectopically, presents significant diagnostic and management challenges. The incidence of HP has notably increased in in vitro fertilization (IVF) cycles [1, 3].

   Case report: We present a case of a 33-year-old woman with a history of secondary infertility and fallopian tube obstruction, who underwent IVF and frozen embryo transfer (FET). She was diagnosed with heterotopic pregnancy, with one intrauterine pregnancy and one ectopic pregnancy in the ovary, after presenting with abdominal pain and vaginal bleeding. Laparoscopic surgery was successfully performed to remove the ectopic pregnancy while preserving the intrauterine pregnancy [5].

   Conclusion: This case highlights the importance of high clinical vigilance and thorough assessment in patients after FET, even when symptoms are nonspecific. Early diagnosis and timely intervention with appropriate treatment strategies are crucial for preserving intrauterine pregnancy and minimizing complications [6, 7].

DOI: 10.59715/pntjmp.4.3.24