Heterotopic ectopic and intrauterine pregnancy after embryo replacement

Walker, D. J.; Clarke, Trudi; Kennedy, C R

doi:10.1111/j.1471-0528.1993.tb15145.x

Cited by 8 publications

(6 citation statements)

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“…Walker at al. ( 4 ) proved that in patients treated because of infertility and who underwent in vitro fertilization the risk of heterotopic pregnancy increases 400-fold in comparison to natural conception. It is also thought that the incidence of this pathology after the use of ART oscillates from 0.75% to 1.3%.…”

Section: Discussionmentioning

confidence: 99%

Heterotopic pregnancy. A case report

et al. 2012

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Heterotopic pregnancy is the coexistence of living or dead intrauterine pregnancy, single or multiple, and extrauterine pregnancy located in the oviduct, ovary, uterine corner, cervix or peritoneal cavity. This condition is very rare (1:30 000 pregnancies). Nevertheless, in the latter years because of the development and accessibility of assisted reproductive techniques, the incidence of heterotopic pregnancies increased to 1:100 of pregnancies. The aim of this report is to present a case of early recognized intrauterine and extrauterine pregnancy. The case refers to 25-year-old patient, pregnant for the second time, in more or less 6th week of gestation, who had not been stated any heterotopic pregnancy incidence risk factors. After the observation lasting for several days in the Clinic, the presence of a living intrauterine and coexisting extrauterine pregnancy located in the right oviduct was stated. The patient had her right oviduct removed by means of laparoscopy. After the surgery the patient with the living intrauterine pregnancy was released from the Clinic. Normal further course of intrauterine pregnancy. The patient gave birth around her expected delivery date. The presented case indicates the significance of correctly and carefully performed ultrasound examination. Moreover, it is a warning for the doctors performing ultrasound examinations in the early weeks of pregnancy – the visualization of a normal pregnancy in the ultrasound examination does not release the examiner from a necessity of precise imaging of adnexa of the uterus. Early diagnosis of this pathology, thanks to a precise ultrasound examination, decreases the risk of complication incidence as well as women mortality.

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Section: Discussionmentioning

confidence: 99%

Heterotopic pregnancy. A case report

et al. 2012

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“…The incidence of heterotopic pregnancy has increased to 1% to 5% of pregnancies following the introduction of ovarian hyperstimulation and in vitro fertilization (IVF). 3 , 5 – 8 The risk increases if five or more embryos are transferred into the uterus. 6 Other causes predisposing to heterotopic pregnancy are similar to those leading to ectopic pregnancy, i.e.…”

Section: Discussionmentioning

confidence: 99%

“…It is estimated to be about 400 times greater after the latter than natural conception. 3 Rupture of an ectopic pregnancy in this setting imposes a diagnostic enigma to emergency physicians. 4 Delay in recognizing the condition may lead to a fatal outcome.…”

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confidence: 99%

Ruptured extrauterine gestation in heterotopic pregnancy

Almosawi

Ayyash

Hayat

et al. 2005

Annals of Saudi Medicine

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“…Actualmente existen referencias que indican como 1-4 de cada 100 pacientes sometidas a técnicas de fertilización in-vitro con transferencia de embriones, puede presentar una gestación heterotópica. La incidencia de embarazo combinado es 400 veces más alta en presencia de técnicas de reproducción asistida que en gestaciones espontáneas (7)(8)(9)(10)12).…”

Section: Discussionunclassified