title: Bilateral ampulary pregnancy after clomifen citrate and intrauterine insemination--a unique case report.
abstract: We report a case with bilateral tubal ampullary pregnancy after Clomifen Citrate medication. The first conception in the right tube was after intrauterine insemination or intercourse performed before insemination, while the second one was achieved 10 d after insemination, during the intercourse, in the left tube. This life-threatening and routinely unexpected finding must always have in mind all doctors dealing with patients in emergency care, especially those receiving fertility enhancing drugs. According to the literature data available, this is the first and unique such case in the literature.
authors.affiliation: Clinic of Obstetrics and Gynecology, Clinical Center of Serbia, Belgrade, Serbia.
authors.forename: Milan M
authors.initials: MM
authors.lastname: Terzic
authors.forename: Jovan S
authors.initials: JS
authors.lastname: Bila
authors.forename: Igor Z
authors.initials: IZ
authors.lastname: Pilic
authors.forename: Dusica M
authors.initials: DM
authors.lastname: Kocijancic
mesh_terms: D000328:Adult; D002996:Clomiphene / Q000009:adverse effects* / Q000627:therapeutic use; D003075:Coitus / Q000502:physiology; D005187:Fallopian Tubes / Q000187:drug effects / Q000473:pathology; D005260:Female; D005300:Fertility Agents, Female / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D007315:Insemination, Artificial / Q000009:adverse effects*; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000139:chemically induced / Q000000981:diagnostic imaging / Q000209:etiology*; D059285:Pregnancy, Twin; D014463:Ultrasonography
chemical_list: D005300:Fertility Agents, Female; D002996:Clomiphene