Gynecology & Obstetrics
Open Access

Abstract

Ovarian Heterotopic Pregnancy after Ovulation Induction with Clomiphene Citrate

Lena El Hachem, Daniel E. Stein, Martin D. Keltz M and Matthew A. Lederman

Background: An ovarian heterotopic pregnancy is a rare entity associated with life-threatening consequences in case of delayed diagnosis.

Case: A 33-year-old nulliparous woman with idiopathic primary infertility underwent a cycle of ovulation induction using Clomiphene Citrate and intrauterine insemination. Although the patient was asymptomatic, the ultrasound demonstrated a missed abortion with a right ovarian heterotopic pregnancy. The patient underwent suction dilatation and curettage of the missed abortion and laparoscopic resection of the ovarian heterotopic pregnancy with preservation of the affected ovary.

Conclusion: Increased awareness of the risk of heterotopic pregnancies following fertility treatments can prevent fatal outcomes and allow for conservative treatments and preservation of fertility.