Heterotopic pregnancy: a case report

Abouelgreed, Tamer A.; Tawab, Mohamed A.; El-Hariri, Mona A.; Ayad, Alaa A.

doi:10.1186/s43055-020-00325-9

Cited by 10 publications

(16 citation statements)

References 9 publications

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“…8 Heterotopic pregnancies can be asymptomatic in about half of the cases, otherwise, it can be presented by variable clinical presentations: mainly abdominal pain, adnexal swelling that may be associated with vaginal bleeding, or even shock due to hypovolemia. 9 Clinically, it manifests non-specifically with abdominal pain, vaginal bleeding, and spotting which presents similarly to both normal pregnancies and abnormal obstetrical complications. 2,9 Our patient presented with sudden onset of left abdominal pain and vaginal bleeding, with 2 hours history of loss of consciousness.…”

Section: Discussionmentioning

confidence: 99%

“…9 Clinically, it manifests non-specifically with abdominal pain, vaginal bleeding, and spotting which presents similarly to both normal pregnancies and abnormal obstetrical complications. 2,9 Our patient presented with sudden onset of left abdominal pain and vaginal bleeding, with 2 hours history of loss of consciousness. This is a common presentation of patient with ectopic pregnancy.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Heterotropic pregnancy: a common masquerade than ever thought?

Olaleye¹,

Ejikeme²,

Okeke³

et al. 2021

Int J Basic Clin Pharmacol

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Heterotopic pregnancy, coexistence of living or dead intrauterine pregnancy, single or multiple, with extra-uterine pregnancy located in the oviduct, ovary, uterine cornua, cervix or rarely peritoneal cavity. Heterotropic pregnancy is relatively uncommon in spontaneous conception with 1 in 30,000 cases reported, the incidence of heterotopic pregnancy increases to 1 in 3900 when conception is enhanced with various assisted reproduction techniques (ART). It is an ectopic pregnancy coexisting with intrauterine pregnancy. But is the incidence of heterotropic pregnancy rising? A case was reported from our centre in 2018 by Ejikeme et al, and we have recorded another two cases in the period of one year. Ectopic pregnancy has been described as a great masquerader, which makes diagnosis and management of heterotropic pregnancy a dilemma to attending physician. We present a case of an unbooked 26 years old G4P3+0 who has no family history of multiple gestation and presented at gestational age of 8 weeks and 5 days with 2 days history of abdominal pain and vaginal bleeding and 2 hours history of loss of consciousness. She later had exploratory laparotomy with left salpingectomy and manual vacuum aspiration of Retained Products of Conception with good outcome. In conclusion, spontaneous heterotropic pregnancy is a rare occurrence, however with advent of artificial reproductive technology and increase incidence of pelvic inflammatory disease, the incidence could be higher than earlier suspected.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Heterotropic pregnancy: a common masquerade than ever thought?

Olaleye¹,

Ejikeme²,

Okeke³

et al. 2021

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

show abstract

“…The incidence is estimated to be about 1 in 30,000 spontaneous pregnancies while a higher prevalence may occur in assisted reproduction techniques that may reach up to 1 case per 100 in some literatures. It is a challenge to diagnose such a problem due to complex clinical and laboratory findings [12,13]. Commonly the ectopic pregnancy is within the fallopian tube and uncommonly in the cervix or ovary.…”

Section: Early Pregnancy Complicationsmentioning

confidence: 99%

Complications of Multiple Pregnancy: Conception to Delivery

Mashamba¹

2023

Multiple Pregnancy - New Insights

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Multiple pregnancy is a condition where more than one fetus occupy the same intrauterine cavity. By means of its rarity in spontaneous pregnancies, it indicates that that by nature the human female uterus is programmed to carry one fetus at a time. The incidence of multiple pregnancy is on the increase because of fertility treatment especially assisted reproductive technology. Unfortunately, multiple pregnancy is associated with several complications from conception until the postpartum period. Maternal uterine anomalies also pose special challenges if associated with multiple pregnancy from diagnosis until management. Miscarriages are higher and some of them are not noticed if the pregnancy continues with one fetus. There are complications related to uterine space like preterm labour which is the commonest. Rupture of membranes with or without preterm labour is also common. Monochorionic multiple pregnancies poses specific challenges in respect to abnormalities during organogenesis from embryonal to vascular malformations. Fetus growth discordance and single twin demise are uncommon but challenging.

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“…1 It is rare in spontaneous conception, occurring in about 1:30,000, but the prevalence has been rising due to the increasing use of assisted reproduction techniques, reaching upto 1:100 in some literatures. 2…”

Section: Introductionmentioning

confidence: 99%

A rare case of triplet heterotopic pregnancy - A case report

Ragam

Thonangi²,

R³

2022

IJOGR

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Triplet heterotopic pregnancy refers to the presence of specifically 3 concurrent gestations with at least 1 being abnormally implanted. Heterotopic pregnancy is rare and estimated to occur in about 1 per 30,000 spontaneous pregnancies while a higher prevalence may occur in assisted reproduction techniques that may reach up to 1 case per 100 in some literatures. The triplet heterotopic pregnancies are often in association with risk factors, as tubal factor infertility, pelvic infections, in vitro fertilization, more embryos transfer, and use of pharmacologic ovulation induction. A 22-year-old primigravida with history of undergoing ovulation induction treatment with 2 & ½ months of amenorrhea was brought to the Emergency Department with complaints of pain abdomen, vomiting and generalized weakness since one day. Transvaginal ultrasound revealed a single live intrauterine gestation at 9 weeks 3 days with fetal cardiac activity alongwith a well defined round to oval anechoic lesion likely gestation sac within the left fallopian tube with moderate to gross hemoperitoneum leading to the diagnosis of a heterotopic pregnancy with left ruptured ectopic pregnancy. She underwent an Exploratory Laparotomy under general anesthesia and was found to have a left sided ruptured tubal ectopic at the isthmo-ampullary junction measuring about 4 x 5 cms for which salpingectomy was done along with an incidental finding of a right sided unruptured ectopic pregnancy in the ampullary region which was in the process of tubal abortion for which right salpingotomy was done. Hemoperitoneum of 900 ml was present. Serial USG monitoring and regular antenatal check ups were done for intrauterine pregnancy and patient was followed up till term. She was admitted at 38 weeks gestation and delivered a healthy, term male baby of birth weight 2.86 kgs through caesarean section.

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Heterotopic pregnancy: a case report

Cited by 10 publications

References 9 publications

Heterotropic pregnancy: a common masquerade than ever thought?

Heterotropic pregnancy: a common masquerade than ever thought?

Complications of Multiple Pregnancy: Conception to Delivery

A rare case of triplet heterotopic pregnancy - A case report

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