Volume 9, Issue 4 (7-2011)
IJRM 2011, 9(4): 319-321 |
Back to browse issues page
1- Department of Obstetrics and Gynecology, Sabzevar University of Medical Sciences, Sabzevar, Iran , sedighe_ghandi@yahoo.com
2- Department of Obstetrics and Gynecology, Sabzevar University of Medical Sciences, Sabzevar, Iran
3- Department of Pharmacology, Sabzevar University of Medical Sciences, Sabzevar, Iran
2- Department of Obstetrics and Gynecology, Sabzevar University of Medical Sciences, Sabzevar, Iran
3- Department of Pharmacology, Sabzevar University of Medical Sciences, Sabzevar, Iran
Abstract: (2454 Views)
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 intrauterine gestation at 9 weeks of gestation is reported.
Conclusion: This case suggests that a heterotopic pregnancy must always be considered particularly after the induction of ovulation by clomiphene citrate or assisted reproductive technology. Every clinician treating women of reproductive age should keep this diagnosis in mind. It also demonstrates that early diagnosis is essential in order to salvage the intrauterine pregnancy and avoid maternal morbidity and mortality.
Case: In this paper a case of heterotopic pregnancy in a 30-year old woman with hemoperitoneum from ruptured tubal pregnancy with live intrauterine gestation at 9 weeks of gestation is reported.
Conclusion: This case suggests that a heterotopic pregnancy must always be considered particularly after the induction of ovulation by clomiphene citrate or assisted reproductive technology. Every clinician treating women of reproductive age should keep this diagnosis in mind. It also demonstrates that early diagnosis is essential in order to salvage the intrauterine pregnancy and avoid maternal morbidity and mortality.
Type of Study: Original Article |
References
1. Bright DA, Gaupp FB. Heterotopic pregnancy: A reevaluation. J Am Board Fam Pract 1990; 3: 125-128.
2. Tal J, Haddad S, Gordon N, Timor-Tritsch I. Heterotopic pregnancy after ovulation induction and assisted reproduction technologies: a literature review from 1971 to 1993. Fertil Steril 1996; 66: 1-12. [DOI:10.1016/S0015-0282(16)58378-2]
3. Glassner MJ, Aron E, Eskin BA. Ovulation induction with clomiphene and the rise in heterotopic pregnancies: A report of two cases. J Reprod Med 1990; 35:175-178.
4. Ahove OI, Sotiloye OS. Heterotopic pregnancy following ovulation stimulation with clomiphene: a report of three cases. West Afr J Med 2000; 19: 77-79.
5. Payne S, Duge J, Bradbury W. Ectopic pregnancy concomitant with term intrauterine pregnancy. Obstet Gynecol 1971; 38: 905-906.
6. Silva PD, Meisch AI. Laparoscopic treatment of heterotopic pregnancy. J Am Assoc Gynecol Laparosc 1995; 2: 213-216. [DOI:10.1016/S1074-3804(05)80020-9]
7. Barnhart KT, Katz I, Hummel A, Gracia CR. Presumed Diagnosis of ectopic pregnancy. Obstet Gynecol 2002; 100: 505-510.
8. Rizk B, Tam SL, Morcos S, Riddle A, Brinsden P, Mason BA, Edwards RG. Heterotopic pregnancies after in vitro fertilization and embryo transfer. Am J Obstet Gynecol 1991; 164: 161-164. [DOI:10.1016/0002-9378(91)90648-B]
9. Addar M. Heterotopic pregnancy following induction of ovulation in PCOS. Mid East Fertil Soc J 2004; 9: 173-175.
10. Ibha K, Poonam G. Heterotopic Pregnancy following induction of ovulation with clomiphene. J Obstet Gynecol Ind 2004; 54: 87-88.
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |