Archives of Gynecology and Obstetrics

, Volume 275, Issue 5, pp 397–399

Live birth after laparotomy for concurrent heterotopic pregnancy and appendicitis in a 6 weeks IVF pregnancy

  • Alexandros Daponte
  • Mihail Spyridakis
  • Maria Ioannou
  • Polyxeni Vanakara
  • Georgios Tzovaras
  • Konstantine Hatzitheofilou
  • Ioannis E. Messinis
Case Report

DOI: 10.1007/s00404-006-0254-8

Cite this article as:
Daponte, A., Spyridakis, M., Ioannou, M. et al. Arch Gynecol Obstet (2007) 275: 397. doi:10.1007/s00404-006-0254-8

Abstract

Backround

A term delivery after concurrent appendectomy and salpingectomy at 6 weeks in an appendicitis coexisting with a heterotopic pregnancy after in vitro fertilization (IVF) treatment is reported.

Methods

Case report.

Results

The patient presented with severe low abdominal pain at 6 weeks of pregnancy after IVF and had explorative laparotomy for appendicitis, during which she had appendectomy and salpingectomy for an undiagnosed concurrent heterotopic pregnancy. The patient delivered a 3,960 g healthy infant at 38 weeks.

Conclusion

In patients with severe abdominal pain after IVF, appendicitis and heterotopic pregnancy should be included in the differential diagnosis. A dual pathology is possible and when treated appropriately it can result in survival of the precious intrauterine pregnancy. This is the second and earliest ever reported case of that resulted in live birth. It shows that explorative surgery must be performed timely in acute abdomen in pregnancy.

Keywords

Acute appendicitis Heterotopic pregnancy In vitro fertilization Explorative laparotomy 

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Alexandros Daponte
    • 1
  • Mihail Spyridakis
    • 2
  • Maria Ioannou
    • 3
  • Polyxeni Vanakara
    • 1
  • Georgios Tzovaras
    • 2
  • Konstantine Hatzitheofilou
    • 2
  • Ioannis E. Messinis
    • 1
  1. 1.Department of Obstetrics and GynaecologyUniversity Hospital of Larissa LarissaGreece
  2. 2.Department of Surgery University Hospital of LarissaLarissaGreece
  3. 3.Department of PathologyUniversity Hospital of LarissaLarissaGreece

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