heterotopic abdominal pregnancy following ovulation induction with clomiphene citrate

نویسندگان

ferdous mehrabian

behnaz khani robati

چکیده

background: heterotopic abdominal pregnancy is a rare entity which poses unique management challenges. case: a 24-year-old gravida 1 woman with history of two years infertility and treatment with clomiphene citrate presented with acute right lower quadrant abdominal pain. heterotopic abdominal pregnancy was recognized at 16 weeks gestation by transvaginal ultrasound scan. we aimed to remove ectopic pregnancy with prevention of maternal complications and preservation of intrauterine pregnancy (iup). surgical removal of the ectopic fetus and placenta was done. abdominal pregnancy removed successfully without intra- or post-procedural complications but the iup was aborted spontaneously on the second postoperative day. conclusion: gynecologists should consider the possibility of heterotopic pregnancy following ovulation induction with clomiphene citrate which is increasing in recent years. a high index of suspicion to heterotopic pregnancy may be followed by a nonsurgical approach safely and affectively if they are clinically stable and the abdominal pregnancy is recognized early in gestation.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Heterotopic pregnancy following induction of ovulation with clomiphene citrate

BACKGROUND Although heterotopic gestation is common in assisted reproductive techniques, it is very rare in natural conception and clomiphene induced pregnancy. Diagnosis and appropriate intervention of heterotopic pregnancy requires a high index of suspicious. CASE In this paper a case of heterotopic pregnancy in a 30-year old woman with hemoperitoneum from ruptured tubal pregnancy with live...

متن کامل

heterotopic pregnancy following induction of ovulation with clomiphene citrate

background: although heterotopic gestation is common in assisted reproductive techniques, it is very rare in natural conception and clomiphene induced pregnancy. diagnosis and appropriate intervention of heterotopic pregnancy requires a high index of suspicious. case: in this paper a case of heterotopic pregnancy in a 30-year old woman with hemoperitoneum from ruptured tubal pregnancy with live...

متن کامل

Ovarian Heterotopic Pregnancy after Ovulation Induction with Clomiphene Citrate

Background: An ovarian heterotopic pregnancy is a rare entity associated with life-threatening consequences in case of delayed diagnosis. Case: A 33-year-old nulliparous woman with idiopathic primary infertility underwent a cycle of ovulation induction using Clomiphene Citrate and intrauterine insemination. Although the patient was asymptomatic, the ultrasound demonstrated a missed abortion wit...

متن کامل

Heterotopic pregnancy following ovulation induction by Clomiphene and a healthy live birth: a case report

INTRODUCTION A heterotopic pregnancy is defined as the presence of a combined intrauterine and ectopic pregnancy. Its estimated incidence is accepted as between 1/7000 and 1/30,000 pregnancies. It is also reported to be as high as 1% after the use of assisted reproductive technology, but Clomiphene Citrate which increases the rate of twinning, could be associated with a heterotopic pregnancy ra...

متن کامل

Role of Sildenafil in ovulation induction – A comparative study of outcomes with Sildenafil in ovulation induction cycles with Clomiphene Citrate

Background: Sildenafil causes vasodilatation by relaxing the smooth muscles of blood vessels. This enhances endometrial development, the health of which is indispensable for implantation and embryonic and fetal development. Aim: To assess the role of Sildenafil when used in ovulation induction cycles with Clomiphene Citrate (CC) with reference to Endometrial Thickness (ET), follicular developme...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
international journal of reproductive biomedicine

جلد ۸، شماره ۱، صفحات ۵۱-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023