Spontaneous heterotopic pregnancy with tubal rupture and pregnancy progressing to term

Kumar, Rakesh; Dey, Madhusudan

doi:10.1016/j.mjafi.2013.02.017

Cited by 10 publications

(10 citation statements)

References 10 publications

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“…This is due to the fact that serial β-hCG determinations and transvaginal ultrasonography are often not helpful in establishing an early diagnosis. [3][4][5] And usually the delay is due to inability of treating clinician to think of a heterotopic pregnancy once an intrauterine gestation is established. 6 They are often confused with ruptured corpus luteum cyst.…”

Section: Discussionmentioning

confidence: 99%

Heterotopic pregnancy: case report of a successful first trimester metacyesis management and a viable third trimester outcome

Singh¹,

Khan²

2018

Int J Reprod Contracept Obstet Gynecol

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Heterotopic pregnancies are rare combined intra and extrauterine pregnancies, the incidence of which has shown an increase over the past decade with the rising trend in assisted reproductive technologies (0.75-1.5%). Authors report a case of a 29 year old primigravida, a post IVF conception who presented at 6 weeks POG with a ruptured tubal and a viable intrauterine pregnancy. She underwent an emergency laparoscopic right salpingectomy and continued with her intrauterine pregnancy successfully till term. The article emphasizes the need of scanning the adnexa carefully in early pregnancy to diagnose and manage heterotopic pregnancy as early as possible to prevent catastrophic haemorrhage and maternal morbidity and mortality later.

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Section: Discussionmentioning

confidence: 99%

Heterotopic pregnancy: case report of a successful first trimester metacyesis management and a viable third trimester outcome

Singh¹,

Khan²

2018

Int J Reprod Contracept Obstet Gynecol

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“…6 The risk factors for heterotopic pregnancy are similar to the risk factors for ectopic pregnancy and medically assisted procreation. [1][2][3]5,7,8 In our case, we found a history of pelvic surgery (left oophorectomy and caesarean section) and a history of miscarriage.…”

Section: Discussionmentioning

confidence: 99%

“…It is a rare pathology; it represents about 1 out of 30000 pregnancies in spontaneous cycle and 1 out of 500 pregnancies in medically procreation. [1][2][3] Often a source of misdiagnosis, it is encountered at the stage of complication. So, this constitutes both a diagnostic and therapeutic emergency in cases of rupture ectopic pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Heterotopic in spontaneous ruptured pregnancy with a living birth term: a case report in Madagascar

Housni¹,

Romuald²,

Ratsiatosika³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Heterotopic pregnancy is defined as the coexistence of an intrauterine pregnancy (UGI) and an ectopic pregnancy (EUS), regardless of its location. It is a rare pathology. Here, we report the case of a 29-year-old patient who had a heterotopic in spontaneous pregnancy complicated by hemoperitoneum at 7 weeks of amenorrhea. A laparotomy with salpingectomy was performed. The result was favourable with a live birth with 37 SA of the GIU. A heterotopic pregnancy must always be eliminated in the presence of acute pelvic pain in the pregnant woman. Laparotomy is a therapeutic alternative if laparoscopy is not available.

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“…Heterotopic pregnancy (HP) was a rare type of multifetal pregnancy in the past; however, it has become more common due to the increase of assisted reproduction techniques (1). The incidence of HP was reported about 1 in 30000 pregnancies (2) while the incidence of HP in a woman with assisted reproductive techniques (ART) increases to about 1% (3) or about 1 in 3900 pregnancies (4). Heterotopic abdominal pregnancy (HAP) is a rare diagnosis and a very few cases reported in the literature (5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

A Successful Pregnancy Outcome in a Heterotopic Abdominal Pregnancy: A Case Report

Ashrafganjoei

Mirreza

Eftekhariyazdi

et al. 2019

Zahedan J Res Med Sci

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Introduction: Heterotopic pregnancy is the existence of both intrauterine pregnancy and ectopic pregnancy simultaneously. Heterotopic pregnancy (HP) has been a rare type of multifetal pregnancy. Heterotopic abdominal pregnancy (HAP) is a very rare diagnosis with very few reported cases. Case Presentation: We reported a rare case of HAP in a 32-year-old woman (G2L1) with a history of 13 weak amenorrhea and mild pelvic pain presenting with two live fetuses in the 13th week. The patient also did not mention any risk factor of ectopic pregnancy such as pelvic inflammatory disease, assisted reproductive techniques, endometriosis, and multiparity. Diagnosis of HAP was performed with the use of sonography and magnetic resonance imaging. We managed the patient with emergency laparotomy due to acute abdominal pain a few hours after admission. Laparotomy revealed the rupture of the left fimbria with 500 cc hemoperitoneum. The excision of the ectopic gestational sac in the cul-de-sac and left salpingectomy with preserving the intrauterine fetus was performed. The patient finally gave birth to one live term birth. Conclusions: Physicians should consider the possibility of HP in women with spontaneous pregnancy and abdominal pain. Both sonography and MRI should be performed to help timely diagnosis.

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Spontaneous heterotopic pregnancy with tubal rupture and pregnancy progressing to term

Cited by 10 publications

References 10 publications

Heterotopic pregnancy: case report of a successful first trimester metacyesis management and a viable third trimester outcome

Heterotopic pregnancy: case report of a successful first trimester metacyesis management and a viable third trimester outcome

Heterotopic in spontaneous ruptured pregnancy with a living birth term: a case report in Madagascar

A Successful Pregnancy Outcome in a Heterotopic Abdominal Pregnancy: A Case Report

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