case_images: PMC3713586_01
case_images: Ultrasound image showing twin gestation with enlarged ovaries and fluid in pouch of douglas
case_images: JHRS-6-82-g001.jpg
case_images: PMC3713586_01_JHRS-6-82-g001.jpg
case_images: F1
case_images: An ultrasound of the abdomen revealed bilateral enlarged ovaries (right ovarian size was 11 x 10 x 9 cm and left ovarian size was 10 x 8 x 8 cm) with significant ascitis [Figure 1]. The patient's serum beta HCG levels on day 18 after oocyte retrieval was 522.4 mIU/L and after 14 days the transvaginal ultrasound revealed twin intrauterine gestation sacs with a yolk sac and a fetal pole in each sac but no cardiac activity [Figure 1].