Ruptured ovarian cysts and bilateral pregnancy

iatrogenic condition with a varied spectrum of clinical and laboratory manifestations. The severe form is potentially lethal.1,2 Tubal ectopic pregnancy is a common, life-threatening situation in gynecology that requires rapid and accurate diagnosis and treatment. However, bilateral ectopic pregnancy is rare, varying in frequency between one per 725 and one per 1,580 ectopic pregnancies.3 We report an extremely rare case of OHSS, with bilateral ectopic gestation and ruptured ovarian cysts. These rare cases, may present a clinical dilemma. Therefore, this case has been reported to highlight these complications in the differential diagnosis when dealing with OHSS cases and to illustrate the difficulties that could be encountered in diagnosis and management of such cases.