Spontaneously conceived heterotopic pregnancy with abdominal pregnancy implanted on the vesicouterine pouch: A case report and literature review

Ozawa, Nobuaki; Shibata, Megumi; Mitsui, Mari; Umehara, Nagayoshi; Samura, Osamu; Sago, Haruhiko

doi:10.1111/jog.14967

Cited by 4 publications

(6 citation statements)

References 27 publications

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“…SH spontană este extrem de rară și este descrisă în literatura engleză ca cazuri clinice separate [1,2,4,5,[7][8][9][10][11][12][13][14][15][16]]. Oancea M. și coaut.…”

Section: Introducereunclassified

“…În SH, în marea majoritate a cazurilor, a fost observată o sarcină uterină monofetală [1,2,4,5,7,10,12,15,16,18,21,24,25,26,28] și numai în câteva cazuri a fost descrisă o sarcină uterină multiplă [13,14,20,27]. Așadar, conform Bataille P. și coaut.…”

Section: Introducereunclassified

“…(2023), sarcina ectopică a fost localizată în: ampula trompei uterine (82.1%), regiunea istmică (8.9%) și regiunea interstițială (7.1%) [24]. Variante rare de gestație ectopică în SH includ: bontul trompei uterine după tubectomie [21,24], sarcina interstițială [27,31], în zona cicatricei uterine după cezariană [11], cervicală [32,33,34], ovariană [10,24,25], abdominală [15,24], abdominală (în omentum mare) după tubectomie bilaterală [26], spațiul retroperitoneal [23].…”

Section: Introducereunclassified

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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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“…SH spontană este extrem de rară și este descrisă în literatura engleză ca cazuri clinice separate [1,2,4,5,[7][8][9][10][11][12][13][14][15][16]]. Oancea M. și coaut.…”

Section: Introducereunclassified

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Spontaneous heterotopic pregnancy

Mishina,

Puiu,

Dobreva

2024

BulMed

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“…Abdominal pregnancy causes severe complications such as abdominal hemorrhage and abdominal cavity organ rupture, which account for its mortality rate 7.7 times that of tubal pregnancy and 89.9 times that of intrauterine pregnancy. [ 2 – 4 ] Here, we report a case of ovarian ligament propria implantation at 13 weeks of gestation, along with ovarian artery rupture and massive hemorrhage.…”

Section: Introductionmentioning

confidence: 99%

A case report of dangerous pelvic infundibulum ligament in the second trimester of pregnancy with massive hemorrhage

Dai,

Chen,

et al. 2023

Medicine

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Rationale: Abdominal pregnancy is a rare ectopic pregnancy and its diagnosis and treatment are more challenging than those of other ectopic pregnancies. Because of a variable pregnancy site, abdominal pregnancy is associated with an increased risk of fatal abdominal hemorrhage, and consequently, an increased risk of maternal death compared with intrauterine pregnancy. Diagnoses: Pelvic infundibulum ligament pregnancy complicated with massive hemorrhage. Patient concerns: 42-year-old pregnant woman who did not undergo an obstetric examination during the first trimester presented with sudden abdominal pain during the second trimester. Abdominal pregnancy was confirmed after emergency treatment, causing difficulty in the comprehensive preoperative evaluation. Interventions: In order to save the patient life, we actively carried out surgical treatment. Outcomes: The patient recovered well after the operation and was discharged on the 11th postoperative day. Blood β-human chorionic gonadotropin (β-hCG) levels and routine blood test results were normal 1 month after the surgery, and the patient had recovered. Lessons: Several challenges are encountered in the diagnosis of abdominal pregnancy with regard to insufficient economic, cultural, and medical resources. In case of ectopic pregnancies, surgery should be the first choice of treatment, and preparations of blood transfusion are essential to combat the risk of rapid hemorrhagic shock caused by placenta implantation in the infundibulum ligament of the pelvis. The operation must be performed by experienced obstetricians and gynecologists.

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“…Data from the United States indicate that its incidence in pregnancies conceived with the help of ART was 1.5 per 1000 pregnancies between 1999 and 2022 [ 3 ]. The most common abnormal location is the fallopian tube, but other abnormal locations may coexist with an intrauterine pregnancy, such as the cervix [ 4 ], caesarean scar [ 5 ], ovary [ 6 ], or abdominal pregnancy [ 7 ]. Due to the rare incidence of this complication, no management standards have been developed anywhere.…”

Section: Introductionmentioning

confidence: 99%

Conservative Management of Heterotopic Pregnancy: A Case Report and Review of Literature

Młodawski,

Kardas-Jarząbek,

Młodawska

et al. 2023

Am J Case Rep

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Patient: Female, 31-year-old Final Diagnosis: Heterotopic pregnancy Symptoms: Pain • pregnancy Clinical Procedure: — Specialty: Obstetrics and Gynecology Objective: Unusual clinical course Background: Tubal heterotopic pregnancy is an extremely rare complication of pregnancy, in which there is a simultaneous presence of a pregnancy in the uterine cavity and in an ectopic location, most commonly in the fallopian tube. The management of such cases is not clearly established. In the case of a desire to maintain an intrauterine pregnancy, the surgical procedure consisting of a salpingectomy or salpingostomy is the most common. Such a procedure is effective, but it involves potential complications typical of surgeries, so, in some cases, it seems reasonable to apply the expectant management. Case Report: A 31-year-old woman was admitted to the clinic due to pain in the right lower abdomen. An ultrasound examination revealed a gestational sac in the uterine cavity corresponding to 5 weeks of pregnancy with a yolk sac. A twin sac was found in the right fallopian tube. Due to the patient’s mild symptoms, absence of bleeding into the peritoneal cavity, concerns about the safety of the embryo and the pregnant woman in case of surgery, conservative management was decided. On the 20 th day, the patient was discharged from the clinic with a viable intrauterine pregnancy and a partially absorbed ectopic pregnancy. Conclusions: In the case of an ectopic tubal pregnancy, if there are no symptoms of bleeding into the peritoneal cavity, it is possible to adopt a safe conservative approach with strict patient observation.

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Spontaneously conceived heterotopic pregnancy with abdominal pregnancy implanted on the vesicouterine pouch: A case report and literature review

Cited by 4 publications

References 27 publications

Spontaneous heterotopic pregnancy

Spontaneous heterotopic pregnancy

A case report of dangerous pelvic infundibulum ligament in the second trimester of pregnancy with massive hemorrhage

Conservative Management of Heterotopic Pregnancy: A Case Report and Review of Literature

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