Coexistence of a Heterotopic Pregnancy Associated with a Homolateral Ovarian Cyst in a Patient Submitted to Elective Abortion

Dessole, Salvatore; Ruiu, G.; Cherchi, Pl

doi:10.1159/000010260

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…There was also a delay in the detection of the ectopic pregnancy component, in the first case scenario, therefore diagnosis was not made until an ectopic pregnancy rupture had occurred and the patient developed hemoperitoneum and instability of vital signs. 5 Although the primary ultrasonography helped to confirm the presence of an intrauterine pregnancy, it failed to identify the ectopic pregnancy, while a heterotopic pregnancy as a cause for abdominal pain should have been suspected immediately in our case.…”

Section: Jsafogmentioning

confidence: 66%

Double Trouble: Heterotopic Pregnancy

Krishnamoorthy¹,

Rani²,

Syamala³

et al. 2014

Journal of South Asian Federation of Obstetrics and Gynaecology

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A heterotopic pregnancy is defined as the presence of a combined intrauterine and ectopic pregnancy. Its estimated incidence is as between 1/7000 and 1/30,000 pregnancies. It is also reported to be as high as 1% after the use of assisted reproductive technology. Heterotopic pregnancies are diagnostic and therapeutic challenges for obstetricians. If they continue without diagnosis, a life-threatening situation may occur even when timely surgical intervention with laparotomy is performed. Here, we report a case series of three patients having three different scenarios, who were diagnosed with heterotopic pregnancies in the first trimester and managed successfully.

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Section: Jsafogmentioning

confidence: 66%

Double Trouble: Heterotopic Pregnancy

Krishnamoorthy¹,

Rani²,

Syamala³

et al. 2014

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…The incidence has been estimated to be about 1 in 30,000 in spontaneous pregnancy. With the use of assisted reproductive technologies, the incidence is as high as 1 in 100 [1,2,4,5]. Clomiphene citrate increase the rate of heterotopic pregnancy to 1 in 900 [6].…”

Section: Eterotopicmentioning

confidence: 99%

Outcome of Heterotopic Pregnancy Following Ovulation Induction by Clomiphene Citrate

Ripal¹,

Michelle²

2015

IJCR

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Heterotopic pregnancy, though rare is a combined pregnancy in which simultaneous intrauterine and extrauterine pregnancy occur. The estimated incidence is 1 in 30000 following spontaneous pregnancy while it can be as high as 1 % after the use of artificial reproductive techniques. We present a case of 33 year old female who conceived after ovulation induction with clomiphene citrate and came with acute abdominal pain. Her ultrasound was suggestive of 10 weeks live intrauterine pregnancy with ruptured left tubal ectopic. Laparotomy with left salpingectomy was done without affecting intrauterine pregnancy. Pregnancy progressed uneventfully until 37 weeks and a healthy male baby was delivered by caesarean section. So, heterotopic pregnancy must be considered in a patient with lower abdominal pain in early gestation particularly those who conceive after artificial reproductive techniques.

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“…But the incidence increases following artificial reproductive techniques which is as high as 1 %. 1,2,4,5 Ovulation induction with clomiphene citrate increases the rate of intrauterine twinning and also is associated with heterotopic pregnancy rate of 1/900. 6 Diagnosis of heterotopic pregnancy is still a challenge to the obstetrician.…”

Section: Introductionmentioning

confidence: 99%

Triplet heterotopic pregnancy following ovulation induction with clomiphene citrate: a case report and review of literature

Panicker

2013

Int J Reprod Contracept Obstet Gynecol

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Heterotopic pregnancy, though rare is a combined pregnancy in which synchronous intrauterine and extra uterine pregnancy occur. An estimated incidence of between 1/8000 to 1/30,000 has been reported following spontaneous conception. After artificial reproductive techniques, the incidence is as high as 1/100 and after ovulation induction with clomiphene citrate, it is around 1/900. We are reporting a case of 26 year old gravida 2 who conceived after ovulation induction with clomiphene citrate and presented to the emergency department with acute abdominal pain. Ultrasound pelvis showed viable twin intrauterine gestation of 8 weeks along with ruptured ectopic pregnancy on the right tube. After stabilizing the patient, emergency laparotomy and right salpingectomy was performed. Fortunately, the intrauterine twin fetuses grew satisfactorily and patient was delivered by caesarean section at 36 weeks in view of previous lower segment caesarean section with preterm labour. Heterotopic pregnancy must be considered in a patient with amenorrhea, abdominal pain, adnexal mass and enlarged uterus particularly, conception following artificial reproductive techniques or fertility drugs, even though the intrauterine pregnancy has been documented. A high index of suspicion is important to avoid maternal morbidity, sometimes mortality and loss of intrauterine pregnancy.

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Coexistence of a Heterotopic Pregnancy Associated with a Homolateral Ovarian Cyst in a Patient Submitted to Elective Abortion

Cited by 6 publications

References 4 publications

Double Trouble: Heterotopic Pregnancy

Double Trouble: Heterotopic Pregnancy

Outcome of Heterotopic Pregnancy Following Ovulation Induction by Clomiphene Citrate

Triplet heterotopic pregnancy following ovulation induction with clomiphene citrate: a case report and review of literature

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