A Case of Heterotopic Pregnancy with Tubal Rupture

Shetty, Shraddha K; Shetty, Anil

doi:10.7860/jcdr/2013/7526.3826

Cited by 6 publications

(5 citation statements)

References 2 publications

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“…In this case the diagnosis of heterotopic pregnancy was accurately made with the use of transvaginal ultrasound, which allowed for timely diagnosis and management before grave consequences occurred. The ectopic pregnancy was ruptured and was diagnosed promptly by the presence of free fluid intraperitoneally in a background of a dropping hemoglobin level [ 24 ]. Intraoperatively, the ruptured right ectopic pregnancy was readily noted with the confirmation of a simultaneous intrauterine pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature

Chadee

Rezai

Kirby

et al. 2016

Case Reports in Obstetrics and Gynecology

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Introduction. Heterotopic pregnancy is a rare complication usually seen in populations at risk for ectopic pregnancy or those undergoing fertility treatments. It is a potentially dangerous condition occurring in only 1 in 30,000 spontaneous pregnancies. With the advent of Assisted Reproduction Techniques (ART) and ovulation induction, the overall incidence of heterotopic pregnancy has risen to approximately 1 in 3,900 pregnancies. Other risk factors include a history of pelvic inflammatory disease (PID), tubal damage, pelvic surgery, uterine Mullerian abnormalities, and prior tubal surgery. Heterotopic pregnancy is a potentially fatal condition, rarely occurring in natural conception cycles. Most commonly, heterotopic pregnancy is diagnosed at the time of rupture when surgical management is required. Case. This paper represents two cases of heterotopic pregnancies as well as a literature review. Conclusion. Heterotopic pregnancy should be suspected in patients with an adnexal mass, even in the absence of risk factors. Clinicians must be alert to the fact that confirming an intrauterine pregnancy clinically or by ultrasound does not exclude the coexistence of an ectopic pregnancy. A high index of suspicion in women is needed for early and timely diagnosis, and management with laparotomy or laparoscopy can result in a favorable and successful obstetrical outcome.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature

Chadee

Rezai

Kirby

et al. 2016

Case Reports in Obstetrics and Gynecology

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“…The most common site of heterotopic pregnancy is the ampulla portion of the fallopian tube, as it was the case in our patient, which is diagnosed when symptoms present. Patients with previous tubal surgeries are at an increased risk for this condition (7). The history of implementing an intrauterine device in patients with pelvic inflammatory diseases increases the risk of ectopic pregnancy (8).…”

Section: Discussionmentioning

confidence: 99%

Heterotopic Pregnancy After In Vitro Fertilization Ending with a Successful Term Labor, a Case Report

Livani

Fatemi

2021

Gene Cell Tissue

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Introduction: Heterotopic pregnancy is defined as the simultaneous presence of intrauterine and ectopic pregnancies, manifesting with abdominal pain and vaginal bleeding. Previous tubal surgeries and pelvic inflammatory diseases increase the risk of this anomaly. In this case report, heterotopic pregnancy after in vitro fertilization (IVF) in an 18-year-old female was reported. Case Presentation: An 18-year-old female was referred to our medical center, presenting with abdominal pain and vaginal bleeding. She had IVF pregnancy seven weeks ago without a history of any other illness or consuming a specific drug. According to ultrasound results, heterotopic pregnancy was diagnosed. Therefore, we decided to perform the salpingectomy and laparotomy of the fetus. The patient had a normal delivery via cesarean section at term (the 38th week of pregnancy). The patient remained stable without any further referral for the mentioned condition. Conclusions: Due to the importance of heterotopic pregnancy and its prevalence among women using fertility procedures and assisted reproduction techniques (such as IVF), even in the presence of a gestational sac containing yolk sac and after the detection of the embryo in the endometrium cavity, the adnexa should be well checked to rule out heterotopic pregnancy to obviate the risk of abortion and other fatal outcomes.

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“…Heterotopic pregnancy is a rare gynecological entity characterized by simultaneous intrauterine and extrauterine pregnancies [1]. The incidence of heterotopic pregnancy, which is estimated at about 1:7,000 to 1:50,000 pregnancies in the general population, has been reported to be 0.09% to 1.00% of pregnancies when using assisted fertilization techniques [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Ruptured Heterotopic Pregnancy: A Rare Encounter in Acute Surgical Care Settings

Elhadidi

Alhariri

Garib

et al. 2020

Cureus

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Heterotopic pregnancy is a rare, life-threatening clinical entity with an overall incidence of about 1:30,000 in spontaneous natural conception cases, especially in cases of delayed diagnosis or conflicting clinical features. Here, we present an unusual case of heterotopic pregnancy in a 22-year-old multigravida presented to the emergency department (ED) with a clinical picture of the acute abdomen following recent abdominal trauma. Abdominal ultrasound revealed hemoperitoneum and a single viable intrauterine pregnancy at seven weeks' gestation. Following surgical exploration, the patient underwent removal of the ectopic pregnancy tissue with right salpingectomy. Since the presence of a conflicting history or equivocal physical signs and symptoms makes it difficult to diagnose heterotopic pregnancy, ED physicians and surgeons must consider the diagnosis even when dealing with viable intrauterine pregnancies. Besides, acute abdominal pain associated with shock should be regarded as suggestive of heterotopic pregnancy. Thus, prompt evaluation and a high index of suspicion are of paramount importance to prevent unwanted sequelae.

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A Case of Heterotopic Pregnancy with Tubal Rupture

Cited by 6 publications

References 2 publications

Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature

Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature

Heterotopic Pregnancy After In Vitro Fertilization Ending with a Successful Term Labor, a Case Report

Ruptured Heterotopic Pregnancy: A Rare Encounter in Acute Surgical Care Settings

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