Heterotopic Pregnancy After Spontaneous Conception- A Rare Entity

Sawai, Devyani; Sharma, Susheel Kumar; Sawai, Devashish Singh; Singhal, Savita Rani; Dahiya, Kiran

doi:10.14260/jemds/2017/1186

Cited by 2 publications

(12 citation statements)

References 8 publications

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“…Currently, there is no universal guideline for the management of HP [6][7][8][9][10][11][12][13][14]. Most patients with HP have a strong desire to preserve the viable intrauterine pregnancy, so the key point of treatment is to preserve the viable intrauterine pregnancy and to treat the ectopic pregnancy, this makes the treatment of HP difficult and challenging [15].…”

Section: Discussionmentioning

confidence: 99%

“…Laparotomy or laparoscopy is a surgical treatment modality for HP depending on the patient's clinical state [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]. To those patients who are hemodynamically unstable or with any signs indicating rupture of the ectopic pregnancy, emergency surgery is strongly recommended to rescue the patient [8,15]. Selective surgery is only suitable for those HP patients with stable hemodynamic condition.…”

Section: Case Reportmentioning

confidence: 99%

“…Surgical procedures include salpingectomy, salpingostomy, cornual resection, oophorectomy, and even total abdominal hysterectomy [6][7][8][9][10]. Surgical management gains the advantage of complete removal of the ectopic pregnancy, but it may be associated with a higher rate of miscarriage of the intrauterine pregnancy [14,15]. The miscarriage rate is quoted to be as high as 15% [13,15].…”

Section: Case Reportmentioning

confidence: 99%

“…Surgical management gains the advantage of complete removal of the ectopic pregnancy, but it may be associated with a higher rate of miscarriage of the intrauterine pregnancy [14,15]. The miscarriage rate is quoted to be as high as 15% [13,15].…”

Section: Case Reportmentioning

confidence: 99%

“…Heterotopic pregnancy (HP) refers to the simultaneous presence of intrauterine pregnancy and ectopic pregnancy, which is very rare but a potentially life-threatening condition [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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Heterotopic pregnancy in a natural conception presenting as an acute abdomen: Management and delivery of a live baby at term

Anozie¹,

Mamah²

2019

Int J Case Rep Images

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Introduction: Heterotopic pregnancy is a rare clinical condition where both intrauterine and extra uterine pregnancy coexists. In a spontaneous conception, the diagnosis is difficult to make, but an important one to consider in the presence of acute abdominal pain, hemorrhagic shock, and intrauterine pregnancy. Case Report: A 28-year-old G4P0+4 with a family history of multiple gestation who presented with acute abdomen and haemorrhagic shock at a gestational age of nine weeks and five days. The diagnosis of ruptured ectopic pregnancy coexisting with viable intrauterine gestation was made with ultrasound findings as well as clinical features necessitating emergency exploratory laparotomy. Ethical approval was obtained from the ethics and research committee of Federal Teaching Hospital Abakaliki. Successful treatment of ectopic pregnancy with uneventful convalescence and viable intrauterine pregnancy delivered at term. Conclusion: Obstetricians should keep a high index of suspicion of heterotopic pregnancy among women of reproductive age, especially

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Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Heterotopic pregnancy in a natural conception presenting as an acute abdomen: Management and delivery of a live baby at term

Anozie¹,

Mamah²

2019

Int J Case Rep Images

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A case report of heterotopic pregnancy

Leandro¹,

Torriente²,

Herrera³

2020

World J. Adv. Res. Rev.

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Heterotopic pregnancy (HP) refers to the simultaneous presence of intrauterine pregnancy (IUP) and ectopic pregnancy (EP), which is very rare but a potentially life-threatening condition. HP can be spontaneous or the subsequence of assisted reproductive technology (ART). A 23 years old patient, primigravida who came to the emergency department presenting lower abdominal pains for four days accompanied by moderate dark vaginal bleeding. The sonar reported Heterotopic Pregnancy. Laparotomy was performed and a clinically 13 week's fetus was found in the Pouch of Douglas. The other embryo that showed fetal activity and no other complication was left inside the uterus. The patient was seen in the hospital every month till delivered by cesarean section an alive baby. Heterotopic pregnancy is now more frequent because of reproductive assisted techniques. Doctors should keep a high index of suspicion in patients with intrauterine pregnancies accompanied by abdominal pains.

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Heterotopic Pregnancy After Spontaneous Conception- A Rare Entity

Cited by 2 publications

References 8 publications

Heterotopic pregnancy in a natural conception presenting as an acute abdomen: Management and delivery of a live baby at term

Heterotopic pregnancy in a natural conception presenting as an acute abdomen: Management and delivery of a live baby at term

A case report of heterotopic pregnancy

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