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A case of forearm amputation after ovarian stimulation for in vitro fertilization-embryo transfer
A Mancini1, D Milardi, M L Di Pietro
1Institute of Endocrinology, Catholic University of the Sacred Heart, Rome, Italy. mancini.giac@mclink.it
Objective:
To report a case of forearm amputation after ovarian stimulation for IVF-ET.
Design:
Case report.
Setting:
A university hospital.
Patient(S):
A 41-year-old woman, who had coagulation disorder as a result of an ovarian hyperstimulation syndrome (OHSS) for IVF-ET.
Intervention(S):
Retrospective evaluation of angiographic studies and surgical treatment.
Main Outcome Measure(S):
Medical follow-up after forearm amputation due to OHSS.
Result(S):
The patient underwent many cycles of IVF-ET with administration of purified FSH (75 IU 10 times per day, for 12 days) and chorionic gonadotropin (5,000 IU). The patient had a coagulation disorder as a result of OHSS, with thrombosis of the axillary vein, recurring after thromboarterectomy and leading to the paradoxical result of the amputation of an arm.
Conclusion(S):
An ethical evaluation of this case is mandatory, since the desire for pregnancy, the role of medical science, health, and human life itself are all factors involved.