Heterotopic pregnancy with successful pregnancy outcome

Nasreen, Najmunnisa; Bano, Imam; Parveen, Shazia

doi:10.4103/0974-1208.101024

Cited by 22 publications

(31 citation statements)

References 8 publications

(6 reference statements)

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“…Triplet and quadruplet heterotopic gestation also been reported, though the incidence was extremely rare [4]. With reported survival rate of 50% -66% in the co-existing intrauterine pregnancy with favorable outcome.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Lately Diagnosed Triplet Heterotopic Pregnancy

Mulla¹,

Fazari²,

Madkour³

et al. 2018

OJOG

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Ruptured ectopic pregnancy is one of the outcomes of mis or delayed diagnosis and the massive hemorrhage resulting is responsible for more than three quarters of the first trimester maternal death. Simultaneous presence of intrauterine pregnancy adds obstacles for the correct diagnosis to take place. The management of this condition is a real dilemma as life threatening condition could be the only presentation which needs immediate intervention. The high index of suspicion is mandatory to ensure timely diagnosis and management to prevent stormy outcome.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Lately Diagnosed Triplet Heterotopic Pregnancy

Mulla¹,

Fazari²,

Madkour³

et al. 2018

OJOG

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“…Interestingly there was coexistence of bilateral tubal and intrauterine single embryos in 4 cases among these triplets [19][20][21][22]. 25/37 reports described duplets, when 31 cases of HPs were presented with coexisting tubal and intrauterine single embryos [5,6,8,9,11,17,[23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38]. 2/37 reports described two cases of HPs with both triplets and duplets [11,17], and 4/37 reports presented 2 cases with duplets [10,24,26,29].…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic US was also used to control an efficiency of surgical procedures, notably to visualize remaining parts of embryos and chorionic tissue in the fallopian tube and uterine cavity by liquid contrasting. Although abdominal and TV US was successfully applied in many cases of preoperative diagnosis of HPs [6,7], according to several reports abdominal and TV US scan failed to visualize tubal embryos in cases of HPs [2,8,9] including partly its efficiency in reports with two cases [10,11].…”

Section: Discussionmentioning

confidence: 99%

Case Report of Combined Twin Tubal and Intrauterine Pregnancies

Mynbaev¹

2012

J Clin Case Rep

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Case of heterotopic quadruplet pregnancy with coexistence of tubal and intrauterine twins.twins and its successful surgical management with brief literature review. Design:A case report supplemented with brief literature review and discussion.Setting: City clinical university hospital. Patient (s):Heterotopic quadruplet pregnancy with tubal and intrauterine twins in a 31-year-old woman after natural conception. Intervention (s):Laparoscopy, adhesiolisys, aspiration of tubal embryos through tubotomy and cervical dilatation and vacuum aspiration of intrauterine embryos as well as vaginal and intraoperative laparoscopic ultrasound examination.Main outcome measure (s): Physical examination, laparoscopy and postsurgical hCG serum assay, as well as preintra-and postoperative vaginal ultrasound and intraoperative laparoscopic sonography. Result (s):Successful diagnosis and treatment of a case of heterotopic quadruplet pregnancy with coexistence of tubal and intrauterine twins in a 31-year-old woman with 6 artificial abortions, pelvic inflammatory diseases and periadnexal adhesions, after natural conception was described. An intraoperative laparoscopic sonography was applied to complete diagnosis of heterotopic pregnancy with coexistence of tubal and intrauterine twins after control of bleeding and stabilization of patient condition due to necessity to perform an emergency surgery. The case was supplemented with a brief review of literature and discussion. Conclusion (s):A unique case of heterotopic quadruplet pregnancy with coexistence of tubal and intrauterine twins after natural conception was presented in the first time.

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“…The latter is commonly found in the Fallopian tube and uncommonly in the cervix, ovary or abdomen. [11][12] Heterotopic pregnancy is extremely rare type of pregnancy. The incidence quoted is 1 out of 30,000 pregnancies.…”

Section: Discussionmentioning

confidence: 99%

An incidental finding of heterotopic pregnancy in a patient presented with acute abdomen post D&C of unwanted pregnancy

Abed¹,

Yassin²,

Salih³

et al. 2016

JYP

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Spontaneous heterotopic pregnancy is a rare condition. There is the simultaneous presence of intrauterine and extrauterine pregnancies. Such condition can be a life-threatening. The diagnosis can also be easily missed especially in early pregnancy. We present this case of a 28-year old patient who was misdiagnosed as normal intrauterine pregnancy. She had illegal termination of unwanted 14-week pregnancy in a private hospital. The patient presented to us with acute abdomen two days after D&C. Following clinical examination, uterine perforation was suspected. Abdominal ultrasound showed a coexisting abdominal pregnancy in the right hypochondrium. his heterotopic pregnancy was undiagnosed at her initial presentation to the first hospital. Emergency laparotomy was done, uterine perforation was sutured and abdominal pregnancy was excised.

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Heterotopic pregnancy with successful pregnancy outcome

Cited by 22 publications

References 8 publications

Laparoscopic Management of Lately Diagnosed Triplet Heterotopic Pregnancy

Laparoscopic Management of Lately Diagnosed Triplet Heterotopic Pregnancy

Case Report of Combined Twin Tubal and Intrauterine Pregnancies

An incidental finding of heterotopic pregnancy in a patient presented with acute abdomen post D&C of unwanted pregnancy

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