A case of forearm amputation after ovarian stimulation for in vitro fertilization-embryo transfer.
OBJECTIVE
To report a case of forearm amputation after ovarian stimulation for IVF-ET.


METHODS
Case report.


METHODS
A university hospital.


METHODS
A 41-year-old woman, who had coagulation disorder as a result of an ovarian hyperstimulation syndrome (OHSS) for IVF-ET.


METHODS
Retrospective evaluation of angiographic studies and surgical treatment.


METHODS
Medical follow-up after forearm amputation due to OHSS.


RESULTS
The patient underwent many cycles of IVF-ET with administration of purified FSH (75 IU 10 times per day, for 12 days) and chorionic gonadotropin (5,000 IU). The patient had a coagulation disorder as a result of OHSS, with thrombosis of the axillary vein, recurring after thromboarterectomy and leading to the paradoxical result of the amputation of an arm.


CONCLUSIONS
An ethical evaluation of this case is mandatory, since the desire for pregnancy, the role of medical science, health, and human life itself are all factors involved.
Mancini
A
A
Institute of Endocrinology, Catholic University of the Sacred Heart, Rome, Italy. mancini.giac@mclink.it
Milardi
D
D
Di Pietro
M L
ML
Giacchi
E
E
Spagnolo
A G
AG
Di Donna
V
V
De Marinis
L
L
Jensen
L
L
D000328:Adult; D000671:Amputation, Surgical; D001778:Blood Coagulation Disorders / Q000209:etiology* / Q000601:surgery*; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D005542:Forearm / Q000601:surgery*; D006801:Humans; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications* / Q000209:etiology; D010062:Ovulation Induction / Q000009:adverse effects*; D012189:Retrospective Studies