Management and outcome of 25 heterotopic pregnancies in Zhejiang, China

Yu, Yan; Xu, Wenying; Xie, Zhihong; Huang, Qing; Li, S.

doi:10.1016/j.ejogrb.2014.04.046

Cited by 64 publications

(95 citation statements)

References 16 publications

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“…8 The majority of heterotopic pregnancies are treated surgically with both laparoscopic and abdominal approaches having been described. 2,7,9 Other nonsurgical options include injection of Methotrexate or Potassium Chloride into the ectopic site 2 or by puncture and aspiration of fetal heart of cornual pregnancy under transvaginal ultrasound guidance 4-6 weeks after the embryo transfer. 6 While there have been several case reports advocating the use of laparoscopy as a minimally invasive approach for management of cornual pregnancies, we felt that laparotomy was better suited in this case due to the close proximity of the gestational sacs.…”

Section: Discussionmentioning

confidence: 99%

“…1 Heterotopic pregnancies can be difficult diagnoses to make leading to the increased morbidity and mortality. [1][2][3] Symptoms are vague with abdominal pain and bleeding being the most common symptoms, but with many patients remaining asymptomatic. 2 Furthermore, only about half of heterotopic pregnancies are diagnosed at routine early ultrasounds.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] Symptoms are vague with abdominal pain and bleeding being the most common symptoms, but with many patients remaining asymptomatic. 2 Furthermore, only about half of heterotopic pregnancies are diagnosed at routine early ultrasounds. 2 They can also be quite difficult to treat, especially when the pregnancy is desired and management goals include not disrupting the existing intrauterine…”

Section: Introductionmentioning

confidence: 99%

“…2 Furthermore, only about half of heterotopic pregnancies are diagnosed at routine early ultrasounds. 2 They can also be quite difficult to treat, especially when the pregnancy is desired and management goals include not disrupting the existing intrauterine…”

Section: Introductionmentioning

confidence: 99%

“…2,4 Extratubal sites include the ovary, abdominal cavity, cervix, cornual region, rudimentary horn, tubal stump, and cesarean scar. 4 We present a case of a heterotopic pregnancy following IVF with a cornual ectopic pregnancy in close proximity to the intrauterine gestation that was managed by surgical removal of the cornual ectopic with the aid of intraoperative ultrasound without disruption of the intrauterine pregnancy.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Abdominal resection of a cornual heterotopic pregnancy using intraoperative ultrasound: case report

Mancuso

Racek

Duran

2016

Proc Obstet Gynecol

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Abdominal resection of a cornual heterotopic pregnancy using intraoperative ultrasound: case report

Mancuso

Racek

Duran

2016

Proc Obstet Gynecol

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Heterotopic pregnancy with natural conception; a rare event that is still being misdiagnosed: a case report

Fatema

Badi

Rahman

et al. 2016

Clinical Case Reports

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Ultrasound manifestations and clinical analysis of 50 cases of heterotopic pregnancy

Xiao,

Zhou,

Wang

et al. 2024

J of Clinical Ultrasound

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ObjectiveTo investigate the value of ultrasonography in the diagnosis of heterotopic pregnancy and the follow‐up.MethodsA retrospective analysis of 50 cases of clinically diagnosed heterotopic pregnancy in our hospital was performed, the clinical characteristics and ultrasonographic manifestations of the patients were summarized, the reasons for initial ultrasound missed diagnosis and misdiagnosis were analyzed, and the pregnancy outcomes were followed up.ResultsAmong the 50 cases, the initial ultrasound diagnoses of intrauterine pregnancy were all gestational sac type, 32 cases of ectopic pregnancy were located in the fallopian tube, and 10 cases were located in the uterine horn, 1 case at cervix, and 1 case at caesarean section scar. Forty‐one cases were consistent with surgery and/or pathology, representing initial ultrasound diagnosis coincidence rate of about 82%. Six cases were missed in the initial ultrasound examination (12%), and three cases were misdiagnosed (6%). The maximum diameter of the intrauterine gestational sac was 9–48 mm, the average was about 24.90 ± 9.56 mm, the maximum diameter of the ectopic pregnancy gestational sac or mass was 11–63 mm, and the average was about 31.45 ± 13.82 mm (p < 0.05). Intrauterine pregnancy outcomes were followed up, 45 patients with complete data and 5 patients were lost to follow‐up. The follow‐up rate was about 90%.ConclusionCombining the patient's medical history and clinical characteristics can reduce missed diagnosis and misdiagnosis of heterotopic pregnancy. Ultrasonography has important value in the assessment of intrauterine pregnancy growth and development, and the integrity of maternal uterus.

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Management and outcome of 25 heterotopic pregnancies in Zhejiang, China

Cited by 64 publications

References 16 publications

Abdominal resection of a cornual heterotopic pregnancy using intraoperative ultrasound: case report

Abdominal resection of a cornual heterotopic pregnancy using intraoperative ultrasound: case report

Heterotopic pregnancy with natural conception; a rare event that is still being misdiagnosed: a case report

Ultrasound manifestations and clinical analysis of 50 cases of heterotopic pregnancy

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