Document Detail

Superfetation after ovulation induction and intrauterine insemination performed during an unknown ectopic pregnancy.
MedLine Citation:
PMID:  20211584     Owner:  NLM     Status:  MEDLINE    
This report describes the first case of superfetation after ovarian stimulation with gonadotrophins and intrauterine insemination (IUI) that were performed in the presence of an undiagnosed tubal pregnancy. A 32-year-old woman who underwent repeated attempts of ovarian stimulation and IUI was hospitalized for severe pelvic pain and submitted to laparoscopic salpingectomy because of ruptured salpynx containing a 6-week pregnancy. Transvaginal ultrasound examination showed a simultaneous intrauterine 2-week pregnancy that had been conceived by ovarian stimulation and IUI while the tubal pregnancy was already ongoing and still undiagnosed. The intrauterine pregnancy went on until term and ended with the spontaneous delivery of a healthy baby. This report demonstrates that human superfetation may occur after gonadotrophin treatment and IUI in the presence of an ongoing tubal pregnancy. It is recommended to perform a pregnancy test before starting ovulation induction even when an apparently normal blood discharge appeared.
Teresa Lantieri; Alberto Revelli; Pietro Gaglioti; Guido Menato; Gianluca Gennarelli; Luisa Delle Piane; Marco Massobrio
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-02-01
Journal Detail:
Title:  Reproductive biomedicine online     Volume:  20     ISSN:  1472-6491     ISO Abbreviation:  Reprod. Biomed. Online     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-30     Completed Date:  2011-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101122473     Medline TA:  Reprod Biomed Online     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  664-6     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.
Reproductive Medicine and IVF Unit, Department of Obstetrical and Gynecological Sciences, University of Turin, OIRM-S Anna Hospital, Turin, Italy.
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MeSH Terms
Insemination, Artificial*
Ovulation Induction*
Pregnancy Outcome
Pregnancy, Ectopic*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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