Diagnosis, Management and Outcomes of Heterotopic Pregnancies: About 28 Cases with Literature Review

Challenges in the diagnosis and management of a ruptured heterotopic gestation following ultrasound-guided embryo transfer in low resource settings: a case report

“…In haemodynamically stable patients, pharmacological interventions under ultrasound guidance can be undertaken, yet, surgical intervention remains the mainstay of management with options such as salpingectomy, salpingotomy, oophorectomy, or hysterectomy on rare occasions. Salpingostomy is the preferred surgical procedure for patients with fertility wishes since salpingectomy normally compromises the fallopian tubes [ 18 ]. There is no consensus on the use of laparoscopic or laparotomy as the best method, yet laparoscopy remains the preferred choice [ 18 ] with advantages of being minimally invasive.…”

“…Salpingostomy is the preferred surgical procedure for patients with fertility wishes since salpingectomy normally compromises the fallopian tubes [ 18 ]. There is no consensus on the use of laparoscopic or laparotomy as the best method, yet laparoscopy remains the preferred choice [ 18 ] with advantages of being minimally invasive. The laparoscopic approach compared to laparotomy method of treating heterotopic pregnancy led to less operation time (40 versus 70 min), less estimated blood loss (150 versus 400 mL) and shortened hospital stay (2 versus 4 days) [ 19 ].…”

“…The laparoscopic approach compared to laparotomy method of treating heterotopic pregnancy led to less operation time (40 versus 70 min), less estimated blood loss (150 versus 400 mL) and shortened hospital stay (2 versus 4 days) [ 19 ]. However, the prohibition of laparoscopy in hypovolaemic shock is inconclusive [ 18 , 20 ]. A recent review of ectopic pregnancies in Ghana reported that over 71% were ruptured at the time of presentation, and this happened in this case [ 21 ].…”