Document Detail

Bilateral ovarian pregnancy after intrauterine insemination and controlled ovarian stimulation.
MedLine Citation:
PMID:  18394622     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report a case of bilateral ovarian pregnancy in a young patient who had previously undergone intrauterine insemination (IUI) and controlled ovarian stimulation (COS). DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 34-year-old woman who had previously undergone IUI and COS. INTERVENTION(S): Emergency exploratory laparotomy for circulatory collapse. About 350 mL of bloody fluid was collected in the pelvic cavity. The left ovary was about 6 cm in diameter and was completely involved by a darkish hemorrhagic ovarian mass; the right ovary was involved by a 4-cm mass. A left ovariectomy and a partial resection of the right ovary with preservation of two-thirds of ovarian tissue was performed. MAIN OUTCOME MEASURE(S): IUI and COS outcome. RESULT(S): The pathologic diagnosis was considered, and bilateral ovarian pregnancy was confirmed according to the diagnostic criteria described by Spiegelberg. CONCLUSION(S): Diagnosis of primary ovarian pregnancy is very difficult because of its rarity and asymptomatic state before rupture. However, early diagnosis is fundamental to avoid more serious complications and an emergency invasive procedure.
Francesco Plotti; Alessandra Di Giovanni; Cosimo Oliva; Francesco Battaglia; Giovanni Plotti
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-18
Journal Detail:
Title:  Fertility and sterility     Volume:  90     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-10     Completed Date:  2008-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2015.e3-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, La Sapienza University of Rome, Rome, Italy.
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MeSH Terms
Abdominal Pain / etiology
Chorionic Gonadotropin, beta Subunit, Human / blood
Infertility, Female / therapy*
Insemination, Artificial / adverse effects*
Ovary / pathology*,  surgery
Ovulation Induction / adverse effects*
Pregnancy, Ectopic / etiology,  metabolism,  pathology*,  surgery
Shock / etiology
Treatment Outcome
Ultrasonography, Prenatal
Reg. No./Substance:
0/Chorionic Gonadotropin, beta Subunit, Human

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