Document Detail


Sextuplet heterotopic pregnancy presenting as ovarian hyperstimulation syndrome and hemoperitoneum.
MedLine Citation:
PMID:  21406303     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To describe a case of bilateral ruptured heterotopic pregnancies presenting as persistent ovarian hyperstimulation syndrome in a quadruplet pregnancy. DESIGN: Case report. SETTING: University hospital and clinic. PATIENT(S): An infertile patient who conceived using gonadotropin therapy. INTERVENTION(S): Culdocentesis with resultant aspiration of sanguinous fluid prompted laparoscopic exploration and bilateral salpingectomies. MAIN OUTCOME MEASURE(S): Not applicable. RESULT(S): Gross hemoperitoneum and ruptured bilateral heterotopic sextuplet pregnancy. CONCLUSION(S): Patients who conceive after gonadotropin therapy should be closely monitored during treatment and in early pregnancy to recognize and minimize morbidity and complications. After superovulation, the presence of an intrauterine pregnancy, either single or multiple, does not rule out the possibility of ectopic pregnancy, and this should always be considered as a possibility in the setting of acute anemia.
Authors:
Stephanie L Fisher; Jamie A M Massie; Yair J Blumenfeld; Ruth B Lathi
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-14
Journal Detail:
Title:  Fertility and sterility     Volume:  -     ISSN:  1556-5653     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, Stanford University, Stanford, California.
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