The therapeutic dilemma of an ectopic pregnancy in the setting of the severe ovarian hyperstimulation syndrome.
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.
Howat
P W
PW
Cairns Base Hospital, Queensland.
Pallis
L M
LM
Wenck
D J
DJ
Humphrey
M D
MD
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
D006063:Chorionic Gonadotropin