Heterotopic abdominal pregnancy following ovulation induction with clomiphene citrate

被引:0
作者
Mehrabian, Ferdous [1 ]
Robati, Behnaz Khani [1 ]
机构
[1] Isfahan Univ Med Sci, Dept Obstet & Gynecol, Esfahan, Iran
关键词
Abdominal pregnancy; Clomiphene citrate; Heterotopic pregnancy symptom; Ovulation induction; KCL;
D O I
暂无
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: Heterotopic abdominal pregnancy is a rare entity which poses unique management challenges. Case: A 24-year-old Gravida 1 woman with history of two years infertility and treatment with clomiphene citrate presented with acute right lower quadrant abdominal pain. Heterotopic abdominal pregnancy was recognized at 16 weeks gestation by transvaginal ultrasound scan. We aimed to remove ectopic pregnancy with prevention of maternal complications and preservation of intrauterine pregnancy (IUP). Surgical removal of the ectopic fetus and placenta was done. Abdominal pregnancy removed successfully without intra- or post-procedural complications, but the IUP was aborted spontaneously on the second postoperative day. Conclusion: Gynecologists should consider the possibility of heterotopic pregnancy following ovulation induction with clomiphene citrate which is increasing in recent years. A high index of suspicion to heterotopic pregnancy may be followed by a nonsurgical approach safely and affectively, if they are clinically stable and the abdominal pregnancy is recognized early in gestation.
引用
收藏
页码:51 / 54
页数:4
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