Laparoscopic management of heterotopic pregnancy in an IVF conception

Shah, Nitin; Shah, Riddhi J.; Kshirsagar, Swapnali

doi:10.18203/2320-1770.ijrcog20180932

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…It detects almost 70% of cases between the fifth and eighth weeks of gestation. 12 The visualization of the embryonic cardiac activity of ectopic pregnancy and of intrauterine embryo constitute a pathognomonic sign of HP. 13 The treatment of HP will depend on the condition of the patient, the size and site of the extrauterine pregnancy, if she has had previous pregnancies, the viability of the intrauterine and extrauterine gestation, and the experience of the doctors.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous heterotopic pregnancy: a rare possibility

Chavan,

Mayadeo,

Sontakke

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Heterotopic pregnancy is defined as a condition when intrauterine and extrauterine pregnancy occur simultaneously. It is a life-threatening condition that requires immediate and accurate diagnostics and treatment. We present the case of a 34-year-old multigravida in her 7 weeks of gestation came to emergency ward with complains of pain in abdomen for 3 days. Ultrasonographic examination showed a live intrauterine pregnancy and mild to moderate free fluid in abdomen with moving internal echoes. An emergency exploratory laparotomy done and left sided tubal ectopic removed along with right salpingectomy as patient was willing for family planning. A high index of suspicion is required to diagnose Heterotopic pregnancy as clinical as well as radiological findings may be insufficient for diagnosis.

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Section: Discussionmentioning

confidence: 99%

Spontaneous heterotopic pregnancy: a rare possibility

Chavan,

Mayadeo,

Sontakke

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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“…TVUS has been found to be better in early diagnosis compared to transabdominal US. It detects almost 70% of cases between the fifth and eighth weeks of gestation [ 10 ]. In this case, both a serum β-hCG measurement and TVUS were done at the emergency room, and HP was suspected because both embryos were visualized and one of them was outside the uterus.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Heterotopic Pregnancy: Case Report and Literature Review

et al. 2020

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Heterotopic pregnancy is defined as a condition when intrauterine and extrauterine pregnancy occur simultaneously. It is a life-threatening condition that requires immediate and accurate diagnostics and treatment. We present a case of a 28-year-old primigravida female who conceived spontaneously and at her seventh week of gestation and was presented to the emergency department with weakness and acute pain in lower abdomen. Laboratory tests and transvaginal ultrasonography revealed the diagnosis of heterotopic pregnancy. Urgent laparoscopic salpingotomy was chosen as a treatment option. The ectopic pregnancy was successfully removed with the preservation of the intrauterine embryo and fallopian tubes. The course of pregnancy after the surgery was without complications, and a healthy baby was delivered at the 39th week of gestation. When treated properly and on time, a heterotopic pregnancy can result in live childbirth with favorable outcomes for both the child and the mother.

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“…In addition to this, TVUS was found to be better in early diagnosis as compared to transabdominal US. It detects almost 70% of cases between five to eight weeks of gestation [11-12]. In some centers, magnetic resonance imaging (MRI) is done to rule out HT pregnancy [9].…”

Section: Discussionmentioning

confidence: 99%

Heterotopic Pregnancy - A Diagnostic Challenge. Six Case Reports and Literature Review

Nabi

Yousaf

Ghaffar

et al. 2019

Cureus

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Heterotopic pregnancy is defined as the simultaneous presence of intrauterine and ectopic pregnancies. It is a rare condition, but due to the increasing use of artificial reproductive techniques, the incidence of heterotopic pregnancy is increasing. Most of the patients with heterotopic pregnancy have a previous history of infertility or tubal diseases. In this case series, we are presenting six cases of heterotopic pregnancy. Three of them had a history of assisted reproductive technique: one patient had in vitro fertilization with three embryos transferred, and two patients received follicular stimulating hormone therapy. In one of the cases, heterotopic pregnancy was missed on an initial transabdominal scan, and in the following weeks, it was diagnosed on transvaginal ultrasound. Five patients underwent laparoscopic salpingectomy, and one patient had laparotomy and then a salpingectomy was done. Follow-up ultrasound scans for intrauterine pregnancy (IUP) showed abortion of the IUP, except in one patient who delivered a healthy full-term baby via spontaneous vaginal delivery. Therefore, there is a need to develop diagnostic criteria to rule out heterotopic pregnancy if the patient underwent any type of assisted reproductive techniques. We are emphasizing the need for more careful scanning of the adnexa via transvaginal ultrasound, especially in high-risk patients, even if the intrauterine gestation is confirmed.

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Laparoscopic management of heterotopic pregnancy in an IVF conception

Cited by 3 publications

References 7 publications

Spontaneous heterotopic pregnancy: a rare possibility

Spontaneous heterotopic pregnancy: a rare possibility

Spontaneous Heterotopic Pregnancy: Case Report and Literature Review

Heterotopic Pregnancy - A Diagnostic Challenge. Six Case Reports and Literature Review

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