A heterotopic (combined) pregnancy, ectopic pregnancy accompanied by coexisting uterine pregnancy, is a rare phenomenon in general population. Recently, its incidence has increased significantly due to increased use of assisted reproductive technologies. But diagnosis of heterotopic pregnancy is often delayed or missed because heterotopic pregnancy is still rare and difficult to diagnose. We have a patient who had simultaneous intrauterine pregnancy and left tubal pregnancy after in vitro fertilization and embryo transfer. We performed left salpingectomy and she delivered 3.13 kg healthy female baby 32 weeks later. So we report this case with a brief review of the literatures.
Diagnosis ; Embryo Transfer* ; Embryonic Structures* ; Female ; Fertilization in Vitro* ; Humans ; Incidence ; Pregnancy ; Pregnancy, Ectopic ; Pregnancy, Heterotopic* ; Pregnancy, Tubal ; Reproductive Techniques, Assisted ; Salpingectomy

Endometrial cancer is a rare condition in women under 40 years of age. However, patients with anovulatory polycystic ovary syndrome are at risk of developing endometrial cancer due to unopposed and prolonged effect of estrogen on the endometrium. Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age resulting from insulin resistance and the compensatory hyperinsulinemia. This has adverse effects on multiple organ systems and may result in alteration in serum lipids, anovulation, abnormal uterine bleeding and infertility. In addition, PCOS may place the patients at risk for the development of type 2 diabetes, hypertension, endometrial cancer and cardiovascular disease. We report a case of endometrial cancer in a young patient with PCOS with brief review of the literatures.
Anovulation ; Cardiovascular Diseases ; Endometrial Neoplasms* ; Endometrium ; Estrogens ; Female ; Humans ; Hyperinsulinism ; Hypertension ; Infertility ; Insulin Resistance ; Polycystic Ovary Syndrome* ; Uterine Hemorrhage