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The Therapeutic Dilemma of an Ectopic Pregnancy in the Setting of the Severe Ovarian Hyperstimulation Syndrome
Author(s) -
Howat P.W.,
Pallis L.M.,
Wenck D.J.,
Humphrey M.D.
Publication year - 1999
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1999.tb03391.x
Subject(s) - ovarian hyperstimulation syndrome , medicine , methotrexate , respiratory distress , pregnancy , ectopic pregnancy , intensive care medicine , in vitro fertilisation , intensive care , gynecology , obstetrics , surgery , genetics , biology
Severe ovarian hyperstimulation syndrome as a result of assisted reproductive therapy occurs rarely. However, this iatrogenic condition can result in a life threatening illness with difficult management dilemmas for the attending physicians. A patient with severe adult respiratory distress syndrome and septicaemia after in vitro fertilization required prolonged intensive care treatment and subsequently had a probable ectopic pregnancy treated with systemic methotrexate as an alternative to surgical management. A satisfactory outcome was obtained, followed by a spontaneous successful pregnancy some months after these events.