title: Heterotopic pregnancy in a cross border oocyte donation patient: the importance of cooperation between centers.
abstract: OBJECTIVE
  To report a case of tubal heterotopic pregnancy after oocyte donation in a cross border patient.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Private University Clinic, Spain, and Public University Hospital, Italy.
  
  
  METHODS
  A woman with a tubal heterotopic pregnancy after oocyte donation.
  
  
  METHODS
  Oocyte donation and ET (Spain), laparoscopic removal of the tubal heterotopic pregnancy (Italy).
  
  
  METHODS
  Diagnosis and treatment of the heterotopic pregnancy.
  
  
  RESULTS
  Laparoscopic treatment of the heterotopic pregnancy resulting in a single ongoing intrauterine pregnancy.
  
  
  CONCLUSIONS
  Cross border reproductive care is increasing in Europe. When patients go back to their respective countries of origin they may not inform their doctors about having undergone fertility treatments abroad. This can lead to a delayed diagnosis in case of complications arising after treatment or during pregnancy. It is of vital importance that clinicians are aware of this possibility to speed up the diagnosis and treatment of potentially fatal situations such as the one described in the present case report.
authors: Reproductive Medicine Service, Department of Obstetrics, Gynaecology and Reproductive Medicine, Institut Universitari Dexeus, Barcelona, Spain. fulman@dexeus.com
authors: Fulvia
authors: F
authors: Mancini
authors: Elisabet
authors: E
authors: Clua
authors: Francisca
authors: F
authors: Martínez
authors: Cesare
authors: C
authors: Battaglia
authors: Anna
authors: A
authors: Veiga
authors: Pedro N
authors: PN
authors: Barri