Expectant management of a heterotopic interstitial pregnancy - a case report

Ayyash, Mariam; Shaman, Majid; Craig, Brian M.; Khangura, Raminder

doi:10.1016/j.crwh.2022.e00414

Cited by 5 publications

(3 citation statements)

References 11 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If expectant treatment is chosen, the frequency of follow-up should increase so that abnormalities can be detected at any time. In 2022, Ayyash et al [ 19 ] reported a case in which expectant treatment was successful and cesarean section delivery occurred at 38 weeks gestation.…”

Section: Discussionmentioning

confidence: 99%

Heterotopic pregnancy after a single embryo transfer with successful perinatal outcome: case report and literature review

Chen,

2024

Contracept Reprod Med

View full text Add to dashboard Cite

A heterotopic pregnancy is a rare and serious pathological pregnancy. In this paper, we report a rare case of heterotopic pregnancy and perform a literature review. A 30-year-old patient with a history of left adnexectomy presented with persistent lower abdominal pain and hemorrhagic shock after single embryo transfer. Emergency laparoscopic exploration revealed a ruptured mass in the right isthmus of the fallopian tube, for which right salpingectomy was performed. After anti-inflammatory treatment and fetal preservation, the intrauterine pregnancy progressed smoothly, and a healthy baby was delivered at 39 weeks gestation. In this case, the patient’s heterotopic pregnancy was possibly due to a natural pregnancy caused by sexual intercourse during treatment, so we recommend that sexual intercourse be avoided during transfer cycles.

show abstract

Section: Discussionmentioning

confidence: 99%

Heterotopic pregnancy after a single embryo transfer with successful perinatal outcome: case report and literature review

Chen,

2024

Contracept Reprod Med

View full text Add to dashboard Cite

show abstract

“…Expectant management could be used for patients with a stable hemodynamic state and who are asymptomatic; however, strict periodic monitoring is mandatory. It avoids potential risks associated with surgery and transabdominal sonographic-guided aspiration of the ectopic gestational embryo [ 11 , 12 ]. Surgical management includes either laparotomy or laparoscopy as viable therapy options for heterotopic pregnancy [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Successful Management of Triplet Heterotopic Pregnancy (Interstitial) With an Intrauterine Monochorionic Diamniotic Twin Pregnancy Through Laparoscopy: A Case Report

Bhoi¹,

Chandra²,

Murdia³

et al. 2023

Cureus

View full text Add to dashboard Cite

The simultaneous occurrence of intrauterine (IU) and extrauterine pregnancies is known as heterotopic pregnancy, an uncommon clinical condition that is challenging to manage. It can be a potentially fatal illness if it remains unnoticed. This is a case report of a woman who had heterotopic triplets after transferring two embryos produced through in vitro fertilization. An ultrasound scan diagnosed live interstitial heterotopic pregnancy and an intrauterine monochorionic twin pregnancy. Laparoscopic resection of interstitial heterotopic pregnancy was done. The monochorionic twin pregnancy was closely monitored by serial ultrasound, and at 36 weeks of gestation, two healthy twins were delivered by cesarean section. The fetal growth parameters were monitored, and a dopplers study was conducted to assess fetal blood flow. Even in heterotopic pregnancy, timely diagnosis and therapeutic intervention can preserve IU pregnancy with a successful outcome. Early meticulous monitoring and early detection can lead to a favorable outcome. Even in heterotropic pregnancy, a meticulous evaluation can lead to favorable outcomes by conserving IU pregnancy, and timely intervention can prevent maternal motility.

show abstract

“…In the case of a spontaneously declining β-hCG in an asymptomatic patient, some may elect for expectant management [50]. There also has been report of expectant management in the case of a heterotopic interstitial pregnancy [51]. Given the fact that medical and surgical management may harm a viable intrauterine pregnancy, this particular case was managed expectantly and followed with serial ultrasounds until the anembryonic interstitial pregnancy resolved.…”

Section: Managementmentioning

confidence: 99%

An update and review of nontubal ectopic pregnancy management

Kostroun

Robinson

2023

Current Opinion in Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

Purpose of review Nontubal ectopic pregnancies appear to be increasing in prevalence. Increasingly, minimally invasive methods for management are being utilized. A current literature review and recommendations for management of nontubal ectopic pregnancy is presented in this review. Recent findings Nontubal ectopic pregnancies are less common than tubal ectopic pregnancies but present a unique and significant threat to patient's health and are optimally managed by specialists familiar with the condition. Early diagnosis, prompt treatment and close follow-up to resolution are critical. Recent publications focus on fertility-sparing and conservative management through the use of medications both systemic and local; as well as minimally invasive surgical techniques. The Society of Maternal Fetal Medicine recommends against expectant management of cesarean scar pregnancies; however, optimal treatment is unknown and this holds true for management of other nontubal ectopic pregnancies. Summary Minimally invasive and fertility sparing management should be the mainstay in treatment of stable patients with nontubal ectopic pregnancy.

show abstract

Expectant management of a heterotopic interstitial pregnancy - a case report

Cited by 5 publications

References 11 publications

Heterotopic pregnancy after a single embryo transfer with successful perinatal outcome: case report and literature review

Heterotopic pregnancy after a single embryo transfer with successful perinatal outcome: case report and literature review

Successful Management of Triplet Heterotopic Pregnancy (Interstitial) With an Intrauterine Monochorionic Diamniotic Twin Pregnancy Through Laparoscopy: A Case Report

An update and review of nontubal ectopic pregnancy management

Contact Info

Product

Resources

About