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Korean Journal of Obstetrics & Gynecology 2008;51(2):225-230.
Published online February 1, 2008.
Chronic tubal pregnancy diagnosed at cesarean delivery in infertile woman conceived after ovulation induction by clomiphene citrate and human menopausal gonadotropin.
Chang Won Jeong, Seok Hyun Kim, Young Sik Choi, Byung Chul Jee, Chang Suk Suh, Young Min Choi, Shin Yong Moon
1Infertility clinic, Jang's women's hospital, Seoul, Korea.
2Department of Obstetrics and Gynecology, College of Medicine, Seoul National University, Seoul, Korea. seokhyun@snu.ac.kr
3Institute of Reproductive Medicine and Population, Medical Research Center, Seoul National University, Korea.
Preoperative diagnosis of heterotopic pregnancy is difficult, especially when ectopic component is chronic and the precise effect of chronic tubal pregnancy on coexisting intra-uterine pregnancy or ongoing pregnancy rates is not known. We present the case of heterotopic pregnancy with a chronic tubal pregnancy incidentally diagnosed during term cesarean delivery in infertile woman conceived after ovulation induction using sequential clomiphene citrate and human menopausal gonadotropin, and timed coitus. Chronic tubal pregnancy might not affect the intrauterine gestation or the mother negatively in non-ruptured cases.
Key Words: Chronic ectopic pregnancy, Tubal pregnancy, Heterotopic pregnancy, Clomiphene citrate, Human menopausal gonadotropin

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