title: The therapeutic dilemma of an ectopic pregnancy in the setting of the severe ovarian hyperstimulation syndrome.
abstract: Severe ovarian hyperstimulation syndrome as a result of assisted reproductive therapy occurs rarely. However, this iatrogenic condition can result in a life threatening illness with difficult management dilemmas for the attending physicians. A patient with severe adult respiratory distress syndrome and septicaemia after in vitro fertilization required prolonged intensive care treatment and subsequently had a probable ectopic pregnancy treated with systemic methotrexate as an alternative to surgical management. A satisfactory outcome was obtained, followed by a spontaneous successful pregnancy some months after these events.
authors.affiliation: Cairns Base Hospital, Queensland.
authors.forename: P W
authors.initials: PW
authors.lastname: Howat
authors.forename: L M
authors.initials: LM
authors.lastname: Pallis
authors.forename: D J
authors.initials: DJ
authors.lastname: Wenck
authors.forename: M D
authors.initials: MD
authors.lastname: Humphrey
mesh_terms: D000328:Adult; D006063:Chorionic Gonadotropin / Q000097:blood; D004624:Embryo Transfer; D005260:Female; D006801:Humans; D016471:Ovarian Hyperstimulation Syndrome / Q000097:blood / Q000150:complications*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000150:complications*; D012128:Respiratory Distress Syndrome / Q000209:etiology
chemical_list: D006063:Chorionic Gonadotropin