title: [Vaginal ultrasound scanning causing misdiagnosis of a pregnant patient with hormonal induction of ovulation].
abstract: We present the case of a 21-year-old woman who developed a simultaneous extra- and intrauterine pregnancy after hormonal induction of ovulation. The case shows a delay in the detection, relying on usual measures as vaginal ultrasound scanning, of the ectopic pregnancy resulting in peritonealia and an acute laparoscopy. This is a reminder of the increase in the prevalence of heterotopic pregnancies as a result of hormonal induction of ovulation, and indicates that laparoscopy is the gold standard of detecting the cause of abdominal pain including ectopic pregnancy.
authors.affiliation: Kirurgisk Afdeling A, Odense Universitets-hospital, Svendborg Sygehus, Valdemarsgade 53, 5700 Svendborg. al_najami@yahoo.com.
authors.forename: Issam
authors.initials: I
authors.lastname: Al-Najami
authors.forename: Søren
authors.initials: S
authors.lastname: Salomon
mesh_terms: D002996:Clomiphene / Q000008:administration & dosage; D003951:Diagnostic Errors; D005260:Female; D005300:Fertility Agents, Female / Q000008:administration & dosage; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011256:Pregnancy Outcome; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D058994:Salpingectomy; D016216:Ultrasonography, Prenatal; D055815:Young Adult
chemical_list: D005300:Fertility Agents, Female; D002996:Clomiphene