HETEROTOPIC OVARIAN PREGNANCY AFTER CLOMIPHENE OVULATION INDUCTION

Heterotopic pregnancy is a life threatening condition which seems to o ccur more frequently than previously estimated. We report a case of co mbined ovarian and intrauterine pregnancy after clomiphene treatment. Diagnosis was delayed because clinical presentation was atypical and u ltrasound was falsely reassuring. The neonate was healthy but presente d with a single umbilical artery. When an ectopic gestation is suspect ed after induction of ovulation or assisted reproductive technologies the presence of an intrauterine pregnancy can no longer be considered reassuring and an heterotopic pregnancy has to be ruled out.