Thursday, 4 May 2017

Ovarian Heterotopic Pregnancy after Ovulation Induction with Clomiphene Citrate

Heterotopic Pregnancy
An ovarian heterotopic pregnancy is a rare entity associated with life-threatening consequences in case of delayed diagnosis. Case: A 33-year-old nulliparous woman with idiopathic primary infertility underwent a cycle of ovulation induction using Clomiphene Citrate and intrauterine insemination.

Although the patient was asymptomatic, the ultrasound demonstrated a missed abortion with a right ovarian heterotopic pregnancy. The patient underwent suction dilatation and curettage of the missed abortion and laparoscopic resection of the ovarian heterotopic pregnancy with preservation of the affected ovary.

Increased awareness of the risk of heterotopic pregnancies following fertility treatments can prevent fatal outcomes and allow for conservative treatments and preservation of fertility.

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