A case of heterotopic pregnancy with selective reduction of the ovum cervical localization and preservation of intrauterine pregnancy

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Abstract


Failure of implantation with the formation of heterotopic pregnancy is, unfortunately, continues to accompany the IVF. This may be due to the inability of the impact on endometrial receptivity. Changing characteristics of endometrial receptivity in conducting IVF determines the probability of formation of this kind of complications. The lack of standards for the conduct of heterotopic uterine and cervical pregnancy include the woman to the group at high risk for bleeding, a subsequent hysterectomy and loss of fertility. Promptly detection of ectopic localization of the ovum by means of methods of ultrasonic diagnostics allows in some cases to carry out organ-sparing surgery. Currently, there is a need for improved approaches to preimplantation training. The article describes a clinical case of heterotopic pregnancy with successful selective reduction of cervical localization of one of the two fertilized eggs and preservation of intrauterine pregnancy.


Mariya L. Romanova

Author for correspondence.
mariaro@mail.ru
I.P. Pavlov First St Petersburg State Medical University
Russian Federation, Saint Petersburg

MC, department of obstetrics, gynecology and reproductology

Igor M. Nesterov

ignester@yandex.ru
I.P. Pavlov First St Petersburg State Medical University
Russian Federation, Saint Petersburg

MC, Assoc. Prof. of department of obstetrics, gynecology and reproductology

Aleksandr V. Dyachuk

gunec@med122.com
Clinical hospital No 122 n.a. L.G. Sokolov of FMBA
Russian Federation, Saint Petersburg

DM, professor, Head of the Department of gynecology

Vladislav V. Chirskiy

vladislav@chirsky.ru
Clinical hospital No 122 n.a. L.G. Sokolov of FMBA
Russian Federation, Saint Petersburg

gynecologist

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