In vitro fertilization patient presenting in hemorrhagic shock caused by unsuspected heterotopic pregnancy.
A 30-year-old woman who had undergone in vitro fertilization and embryo transfer (IVF-ET) presented to the emergency department in hemorrhagic shock 4 weeks after a spontaneous abortion. She was found to have a ruptured uterus caused by an unsuspected second pregnancy located in the cornual region of the uterus. Women undergoing IVF-ET are at a higher risk for multiple pregnancies, ectopic pregnancies, and heterotopic pregnancies.
Lund
P R
PR
Department of Trauma and Emergency Medicine, Medical College of Wisconsin, Milwaukee.
Sielaff
G W
GW
Aiman
E J
EJ
D000328:Adult; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology*; D011271:Pregnancy, Ectopic / Q000150:complications* / Q000175:diagnosis; D012771:Shock, Hemorrhagic / Q000209:etiology*