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Titolo:
Ovarian hyperstimulation syndrome associated with clomiphene citrate
Autore:
Mitchell, SY; Fletcher, HM; Williams, E;
Indirizzi:
Univ W Indies, Dept Obstet & Gynaecol, Kingston 7, Jamaica Univ W Indies Kingston Jamaica 7 Obstet & Gynaecol, Kingston 7, Jamaica
Titolo Testata:
WEST INDIAN MEDICAL JOURNAL
fascicolo: 3, volume: 50, anno: 2001,
pagine: 227 - 229
SICI:
0043-3144(200109)50:3<227:OHSAWC>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
8
Recensione:
Indirizzi per estratti:
Indirizzo: Mitchell, SY Univ W Indies, Dept Obstet & Gynaecol, Kingston 7, Jamaica Univ W Indies Kingston Jamaica 7 aecol, Kingston 7, Jamaica
Citazione:
S.Y. Mitchell et al., "Ovarian hyperstimulation syndrome associated with clomiphene citrate", W I MED J, 50(3), 2001, pp. 227-229

Abstract

Ovarian hyperstimulation is a recognized complication of ovulation induction with gonadotrophins. The syndrome is becoming more common as the number of women undergoing in-vitro fertilization increases. It is rarely seen in conjunction with clomiphene citrate usage. This case report is of moderate to severe ovarian hyperstimulation in a patient who was treated with clomiphene citrate because of infertility secondary to anovulation. She presentedwith amenorrhoea for five weeks, lower abdominal pain and a positive urinary human chorionic gonadotrophin (hCG) test. Pelvic ultrasonography was suggestive of a possible ectopic pregnancy with a differential diagnosis of a ruptured ovarian cyst. Diagnostic laparoscopy was done followed by laparotomy. Oophorectomy was performed because the ovary was thought to be complex with solid areas. However, conservative management with avoidance of laparotomy is the recommendation in confirmed cases of ovarian hyperstimulation but this requires a high level of suspicion inpatients who have ovulation induction.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 21:53:38