SIMULTANEOUS BILATERAL TUBAL PREGNANCY FOLLOWING IN-VITRO FERTILIZATION AND EMBRYO-TRANSFER

A case of simultaneous bilateral tubal pregnancy resulting from in-vit ro fertilization and embryo transfer is presented. Repeated transvagin al ultrasound examinations confirmed an intrauterine sac but no fetus. A diagnosis of early missed abortion was incorrectly made and a curet tage was performed. The pathological examination showed the presence o f decidua and Arias-Stella phenomenon but no chorionic villi. Diagnost ic laparoscopy and laparotomy performed 40 days after embryo transfer (eighth week of gestation), revealed bilateral tubal pregnancy. Bilate ral salpingectomy was performed.