Bilateral ovarian pregnancy after intrauterine insemination and controlled ovarian stimulation.
OBJECTIVE
To report a case of bilateral ovarian pregnancy in a young patient who had previously undergone intrauterine insemination (IUI) and controlled ovarian stimulation (COS).


METHODS
Case report.


METHODS
University hospital.


METHODS
A 34-year-old woman who had previously undergone IUI and COS.


METHODS
Emergency exploratory laparotomy for circulatory collapse. About 350 mL of bloody fluid was collected in the pelvic cavity. The left ovary was about 6 cm in diameter and was completely involved by a darkish hemorrhagic ovarian mass; the right ovary was involved by a 4-cm mass. A left ovariectomy and a partial resection of the right ovary with preservation of two-thirds of ovarian tissue was performed.


METHODS
IUI and COS outcome.


RESULTS
The pathologic diagnosis was considered, and bilateral ovarian pregnancy was confirmed according to the diagnostic criteria described by Spiegelberg.


CONCLUSIONS
Diagnosis of primary ovarian pregnancy is very difficult because of its rarity and asymptomatic state before rupture. However, early diagnosis is fundamental to avoid more serious complications and an emergency invasive procedure.
Plotti
Francesco
F
Department of Obstetrics and Gynecology, La Sapienza University of Rome, Rome, Italy. francescoplotti@tiscali.it
Di Giovanni
Alessandra
A
Oliva
Cosimo
C
Battaglia
Francesco
F
Plotti
Giovanni
G
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000628:therapy*; D007315:Insemination, Artificial / Q000009:adverse effects*; D010052:Ovariectomy; D010053:Ovary / Q000473:pathology* / Q000601:surgery; D010062:Ovulation Induction / Q000009:adverse effects*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000209:etiology / Q000378:metabolism / Q000473:pathology* / Q000601:surgery; D012769:Shock / Q000209:etiology; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal
D018997:Chorionic Gonadotropin, beta Subunit, Human