Grossesse hétérotopique: à propos d'un cas avec un tableau clinique rare

Montilla, F.; Amar, P.; Boyer, S.; Karoubi, R.; Diquelou, J. Y.

doi:10.1016/j.jgyn.2006.10.001

Cited by 6 publications

(9 citation statements)

References 18 publications

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“…The first case was reported by Duvernet in 1708 during an autopsy [1,2,4,5]. Epidemiologically, the frequency of heterotopic pregnancy is variable depending on the series, approximately 1/30,000 in cases of assisted pregnancies [3,4,6].…”

Section: Commentarymentioning

confidence: 99%

“…Heterotopic pregnancy is becoming more common due to the increase in sexually transmitted infections, tubal surgery and especially the proliferation of ovulation inducing treatments and modern techniques of in vitro fertilization [1,3,6].…”

Section: Commentarymentioning

confidence: 99%

“…Tubal infertility is also a risk factor. Indeed, modern techniques of in vitro fertilization have greatly changed the epidemiological profile of heterotopic pregnancies [2,3,5,6].…”

Section: Commentarymentioning

confidence: 99%

“…This hypothesis is discussed in the induction of ovulation when two injections of HCG are administered [3,4,6,7].…”

Section: Commentarymentioning

confidence: 99%

“…Heterotopic pregnancy is the simultaneous coexistence of an intrauterine pregnancy (IUP) and an ectopic pregnancy (EP) in the same patient, regardless of the location of the ectopic pregnancy [1,2,3]. It is a pathological and exceptional form of biovulardizygote twin pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Advanced Heterotopic Pregnancy: A Case Report

Denguezli¹

2017

JGO

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Heterotopic pregnancy is a pathological form of biovular dizygotic twin pregnancy. This is a rare disease, but its incidence has increased sharply in recent years due to the development of medically assisted procreation and the resurgence of pelvic infections. Diagnosis and therapeutic management of heterotopic pregnancy are essential to improve maternal prognosis and proper conduct of the intrauterine pregnancy. The authors report a new advanced heterotopic pregnancy in a woman treated for infertility. Through the literature data, they focus on the different aspects of this rare form of pregnancy.

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Section: Commentarymentioning

confidence: 99%

Section: Commentarymentioning

confidence: 99%

“…Tubal infertility is also a risk factor. Indeed, modern techniques of in vitro fertilization have greatly changed the epidemiological profile of heterotopic pregnancies [2,3,5,6].…”

Section: Commentarymentioning

confidence: 99%

“…This hypothesis is discussed in the induction of ovulation when two injections of HCG are administered [3,4,6,7].…”

Section: Commentarymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Advanced Heterotopic Pregnancy: A Case Report

Denguezli¹

2017

JGO

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La grossesse hétérotopique : à propos de sept cas et revue de la littérature

Temime

Mathlouthi

Makhlouf

et al. 2012

Imagerie de la Femme

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Diagnosis and management of a spontaneous heterotopic pregnancy: Rare case report

Ouafidi

Kiram

Benaguida

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Heterotopic pregnancy is the occurrence of pregnancies in at least two different implantation sites in the same time. The diagnosis of heterotopic pregnancy remains one of the greatest challenges of the gynecological-obstetrical emergencies. Case presentation We report a rare case of spontaneous heterotopic pregnancy of a 32-year-old woman, diagnosed with a heterotopic pregnancy by ultrasound and treated by laparotomy in emergency obstetrical department of Ibn Rochd University Hospital of Casablanca. Clinical discussion The existence of intrauterine pregnancy does not exclude an ectopic pregnancy. The occurrence of a spontaneous heterotopic pregnancy without risk factors is a rare event, the clinical symptomatology is often related to a threatened or ongoing abortion, the diagnosis of heterotopic pregnancy is not made until the appearance of signs of hemoperitoneum secondary to a ruptured EP, hence the importance of a systematic ultrasound examination of the adnexa during first trimester ultrasound. The standard treatment is conservative surgery, preferably by laparoscopy. Laparotomy retains its indications especially in forms with hemorrhagic shock. With the aim of preserving intrauterine pregnancy while removing ectopic pregnancy. Conclusion The diagnosis of heterotopic pregnancy should not be excluded by the discovery of a UGI in a spontaneous cycle. Diagnosis is often difficult and management should be initiated as soon as possible given the risk of maternal mortality.

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Grossesse hétérotopique: à propos d'un cas avec un tableau clinique rare

Cited by 6 publications

References 18 publications

Advanced Heterotopic Pregnancy: A Case Report

Advanced Heterotopic Pregnancy: A Case Report

La grossesse hétérotopique : à propos de sept cas et revue de la littérature

Diagnosis and management of a spontaneous heterotopic pregnancy: Rare case report

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