Ectopic pregnancy secondary to in vitro fertilisation-embryo transfer & pelvic inflammatory disease, a case report

Abstract

Ectopic Pregnancy (EP) is a type of abnormal pregnancy where the blastocyst implants & develops at a site other than the endometrial lining of the uterine cavity. Patient classically presents with amenorrhoea, vaginal bleeding & pain abdomen & is the one of the leading causes for maternal morbidity & mortality in reproductive age group. Pelvic inflammatory disease (PID) is poly-microbial infection affecting the female genital system & fallopian tubes are the most commonly affected organ & increases the risk of ectopic. Even though there is a decline of genital tuberculosis cases worldwide, it is not uncommon to encounter such cases & there is an increased risk of ectopic due to tubal distortion and agglutination pockets formed due to peritubal adhesions. With rise of infertility cases worldwide, more women opt for assisted reproductive techniques (ART) & ectopic pregnancy is a known complication. Transvaginal Ultrasonography (TVS) plays a key role in establishing the diagnosis of ectopic pregnancy. Conservative & surgical management methods can be considered depending upon the condition of the patient & extent of the disease. Here is reporting a case of ectopic pregnancy secondary to in vitro fertilisation-embryo transfer & pelvic inflammatory disease which was treated by laparoscopic salpingectomy.