Heterotopic Quadruplet Pregnancy. Literature Review and Case Report

Cimpoca-Raptis, Brînduşa Ana; Moldoveanu, Amira; Gică, Nicolae; Gică, Corina; Ciobanu, Anca Marina; Panaitescu, Anca Maria; Oprescu, D.

doi:10.3390/medicina57050483

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…(2021) au descris SH cvadrupla după FIV, în care o sarcină uterină triplă a fost combinată cu o sarcină tubară afectată. Autorii au analizat 9 cazuri de SH cvadruple, descrise anterior în literatura în limba engleză [22].…”

Section: Introducereunclassified

“…În majoritatea cazurilor de SH cu localizarea ei în trompa uternă se efectua tubectomie [1,5,7,8,14,16,18,20,22,24,28,30] sau salpingotomie [2,5,30]. Potrivit Li J. și coaut., (2020), rata de întrerupere a sarcinii intrauterine în grupul de tubectomie este mai mică decât în cazul salpingotomiei și a fost de 12.5% vs 25% În cazul localizării sarcinii ectopice în ovar se efectuează rezecții în formă de pană [10,24,25], iar în cazul localizării în epiploonul mare se efectuează omentectomie parțială [26].…”

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Spontaneous heterotopic pregnancy

Mishina,

Puiu,

Dobreva

2024

BulMed

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The authors presented a documented case of spontaneous heterotopic pregnancy (uterine in combination with ruptured left tubal pregnancy). A laparoscopic tubectomy was performed. The uterine pregnancy progressed and finalized in time with the birth of a healthy child through the natural genital tract. A review of the literature on the diagnostic features and surgical treatment of heterotopic pregnancy is presented.

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Section: Introducereunclassified

Spontaneous heterotopic pregnancy

Mishina,

Puiu,

Dobreva

2024

BulMed

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“…Sometimes women have two pregnancies at one time: intrauterine and ectopic. This con-dition is called a heterotopic pregnancy [3]. Nontubal pregnancies, i.e.…”

Section: Introductionmentioning

confidence: 99%

Retrospective analysis of a case report of a left ovarian ectopic pregnancy after the former tubal

Wrona¹,

Aleksandrovych

Gil

et al. 2023

Folia Medica Cracoviensia

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Up to 2% of pregnancies may be extrauterine. Despite reproductive problems, they might increase the risk of serious complications. We present a case report of a 31-year-old woman with two extrauterine pregnancies -tubal and ovarian, which occurred at the same side with little time difference. In addition, we aimed to examine possible reasons underlying this rare pathology. Thus, surgically removed tissue specimens were morphologically assessed and further compared with specimens from healthy control patients. Telocytes were analysed in detail due to their pivotal role in the female reproductive system. Our study had observational character and obvious limitations typical for a clinical case. Yet, such a clinical case of two ectopic pregnancies has not been previously reported in the literature.

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“…The primary goal of treating HP is to remove the ectopic pregnancy while maintaining intrauterine pregnancy. [ 6 ] Treatment for HP includes expectant management, embryo aspiration with or without embryo-killing drugs, and surgical intervention. Severe morbidity and mortality in pregnant women can be reduced through early diagnosis and proper management of HP.…”

Section: Introductionmentioning

confidence: 99%

The risk factors for miscarriage of viable intrauterine pregnancies in patients with heterotopic pregnancy after surgical intervention

Ruan,

Zhang,

Chen

et al. 2023

Medicine

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To summarize the clinical characteristics and explore the risk factors for miscarriage of a viable intrauterine pregnancy following surgical intervention in patients with heterotopic pregnancy (HP). A total of 106 women diagnosed with HP that underwent surgical intervention in the Women’s Hospital School of Medicine Zhejiang University between January 2014 and December 2021 were included in this retrospective study. They were divided into a miscarriage group (n = 13) and an ongoing pregnancy group (n = 93) according to the outcomes of the HP within 2 weeks after surgery. Data regarding clinical characteristics, surgical conditions, postoperative recovery, and complications were collected and compared between the groups. Logistic multivariate analysis was performed to explore the risk factors for miscarriage in patients with HP within 2 weeks of surgical intervention. Among the 106 women with HP, 80 had tubal HP, 8 had cornual HP, and 18 had interstitial HP. Eighty-seven (82.1%) patients developed clinical symptoms that manifested primarily as abnormal vaginal bleeding and/or abdominal pain, whereas 19 (17.9%) patients had no clinical symptoms. The mean gestational age on the day of surgery was 7.2 weeks (inter-quartile range, 6.4–8.3). The miscarriage rate within 2 weeks of surgical intervention was 12.3% in patients with HP. Compared to the ongoing pregnancy group, the miscarriage group had a higher body mass index, earlier gestational age at treatment, and higher volume of hemoperitoneum (P < .05 for all). Logistic multivariate analysis indicated that the women with a hemoperitoneum volume > 200 mL had significantly higher risk of miscarriage after adjusting covariates [OR (odds ratio) = 5.285, 95% CI (confidence interval) (1.152–24.238), P < .05]. Hemoperitoneum volume was independently associated with miscarriage of viable intrauterine pregnancies in patients with HP within 2 weeks of surgical intervention.

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Heterotopic Quadruplet Pregnancy. Literature Review and Case Report

Cited by 5 publications

References 18 publications

Spontaneous heterotopic pregnancy

Spontaneous heterotopic pregnancy

Retrospective analysis of a case report of a left ovarian ectopic pregnancy after the former tubal

The risk factors for miscarriage of viable intrauterine pregnancies in patients with heterotopic pregnancy after surgical intervention

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