heterotopic abdominal pregnancy following ovulation induction with clomiphene citrate
نویسندگان
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.
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 کاملheterotopic 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...
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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...
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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 کاملOvulation induction with clomiphene citrate + gonadotropin + GnRH antagonist versus ovulation induction without clomiphene citrate in women submitted to assisted reproductive techniques
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Role of Sildenafil in ovulation induction – A comparative study of outcomes with Sildenafil in ovulation induction cycles with Clomiphene Citrate
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عنوان ژورنال:
international journal of reproductive biomedicineجلد ۸، شماره ۱، صفحات ۵۱-۰
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