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Case Reports
. 2021 Oct 16;9(29):8894-8900.
doi: 10.12998/wjcc.v9.i29.8894.

Ovarian pregnancy rupture following ovulation induction and intrauterine insemination: A case report

Bin Wu  1 , Ke Li  1 , Xiao-Fen Chen  1 , Jie Zhang  1 , Jing Wang  1 , Yue Xiang  2 , Hong-Gui Zhou  1
Affiliations
Case Reports

Ovarian pregnancy rupture following ovulation induction and intrauterine insemination: A case report

Bin Wu et al. World J Clin Cases. .

Abstract

Background: Ovarian pregnancy after assisted reproductive technology treatment has rarely been reported; ovarian pregnancy following intrauterine insemination (IUI) is even rarer, and only nine cases have previously been reported.

Case summary: We report a case of ovarian pregnancy rupture after ovulation induction and IUI. The patient presented with bilateral lower abdominal pain and was referred to the emergency department. Ultrasound examination revealed ovarian pregnancy and intraperitoneal bleeding. Laparoscopy revealed an ovarian pregnancy with hemoperitoneum, which was subsequently removed. Pelvic adhesions were detected intraoperatively, which were treated immediately. The patient spontaneously conceived an intrauterine pregnancy 3 mo later, which was ongoing at the time of writing this study.

Conclusion: Close attention should be paid to any history of pelvic inflammatory disease before commencing IUI treatment,and patients with such a history should be closely followed up after IUI. Early measurement of serum β-human chorionic gonadotropin levels and ultrasonic examination are essential for timely diagnosis of ovarian pregnancy after ovulation induction and IUI to avoid more serious complications.

Keywords: Case report; Early diagnosis; Intrauterine insemination; Ovarian pregnancy; Ovulation induction; Rupture.

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Conflict of interest statement

Conflict-of-interest statement: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Transvaginal ultrasonography shows right ovarian ectopic pregnancy, with gestational sac.
Figure 2
Figure 2
Photomicrograph of the right ovarian mass shows ovarian tissue with chorionic villi (hematoxylin-eosin staining, magnification × 4).
See this image and copyright information in PMC

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