Difficulty determining the most appropriate surgical procedure for contralateral hydrosalpinx in a tubal pregnancy ; a case report

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  • 術式に苦慮した対側卵管留水症を伴う卵管妊娠の1例
  • 症例報告 術式に苦慮した対側卵管留水症を伴う卵管妊娠の1例
  • ショウレイ ホウコク ジュツシキ ニ クリョ シタ タイガワランカンリュウスイショウ オ トモナウ ランカン ニンシン ノ 1レイ

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The clinical management of a contralateral hydrosalpinx in a patient with a tubal pregnancy remains a controversial issue. In such cases, the hydrosalpinx is treated by either salpingostomy to achieve spontaneous pregnancy, or salpingectomy as a precautionary measure before assisted reproductive technology (ART) . Herein, we report a 34-year-old nulliparous woman who was treated with laparoscopic salpingectomy for right tubal pregnancy at six weeks of gestation. Coincidentally, at the surgery, we detected a left hydrosalpinx, but chose to leave it untreated because we did not obtain the patient’s informed consent for its removal. At 35 years of age, she underwent frozenh-thawed blastocyst transfer, but was not able conceive. We recommend that physicians performing a salpingectomy for a tubal pregnancy first obtain informed consent from the patient as a precautionary measure before ART. [Adv Obstet Gynecol, 66 (2) : 99-103, 2014 (H26.5)]

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