Ruptured extrauterine gestation in heterotopic pregnancy

Almosawi, Ahmad; Ayyash, Emad H.; Hayat, Sawsan; Asfar, Sami

doi:10.5144/0256-4947.2005.413

Cited by 5 publications

(9 citation statements)

References 15 publications

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“…Surgery by laparoscopy or laparotomy with minimal manipulation of the uterus remains the mainstay of treatment despite the anaesthetic and surgical risks to both the mother and the intrauterine foetus (12,15,19). Laparotomy is reserved for lifethreatening cases with haemoperitoneum and haemorrhagic shock or for cases that cannot be treated laparoscopically (9,15).…”

Section: Discussionmentioning

confidence: 99%

“…Transvaginal ultrasound or laparoscopic guided aspiration and/or injection of potassium chloride, methotrexate, mifepristone (RU486), prostaglandin or hyper osmolar glucose has been described (12,13,15,18,19). While potassium chloride is nonteratogenic and commonly used, methotrexate, RU486 and prostaglandin are potentially teratogenic and should not be used (12,15).…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Heterotopic Pregnancy With Live Infant: Report Of Two Cases

At²,

De³

et al. 2009

E Af Med Jrnl

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SUMMARYHeterotopic pregnancy is a potentially fatal condition that rarely occurs in natural conception cycles. We report two cases diagnosed within one month in a 20 year old gravida 3, para 0+2 without any known risk factor and a 38 year old gravida 12, para 6+5 with risk factors. The ectopic pregnancies were diagnosed after rupturing at 10 and 17 weeks respectively and resected via laparotomies. The courses of the intrauterine pregnancies were uneventful and both clients delivered vaginally at term. Heterotopic pregnancy is an important differential diagnosis to consider in clients with intrauterine pregnancies presenting with acute abdominal pain and haemoperitoneum.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spontaneous Heterotopic Pregnancy With Live Infant: Report Of Two Cases

At²,

De³

et al. 2009

E Af Med Jrnl

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“…This was first reported by Duverney as an autopsy finding in 1708. 1 An extrauterine pregnancy is known as an ectopic pregnancy and involves implantation of a blastocyst in a location outside of the uterine endometrium. Ectopic pregnancy is the fourth leading cause of maternal death in the United Kingdom, and for this reason, heterotopic pregnancy is considered a medical emergency.…”

Section: Discussionmentioning

confidence: 99%

Heterotopic Pregnancy in a Patient Not on Fertility Treatment

King

2011

Journal of Diagnostic Medical Sonography

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Heterotopic pregnancy is a combination of an intrauterine pregnancy and an ectopic pregnancy. This is a rare event but has increased in incidence as in vitro fertilization becomes more common. This type of pregnancy is challenging to image and diagnose with sonography. This case reports a heterotopic pregnancy involving a woman in her late 20s who presented to the emergency room with acute abdominal pain, vomiting, and decreased blood pressure. The ectopic pregnancy was not visualized on an earlier dating scan. This case study discusses the etiology, diagnosis, sonographic appearance, and treatment of heterotopic pregnancy.

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“…On retrouve des signes de GEU directs et indirects, associés à une GIU. Le plus souvent le diagnostic de GIU évolutive est posé en premier, la GEU est découverte plus tardivement [6,7,[9][10][11]13]. Plus rarement, le tableau de grossesse cornuale est diagnostiqué [16], cette situation permet un diagnostic plus facile et plus précoce.…”

Section: Discussionunclassified

“…Le traitement de référence reste la coelioscopie qui va permettre de confirmer le diagnostic et de traiter la patiente dans le même temps [11,17]. Pour autant, le traitement par laparotomie n'est pas rare [6,[8][9][10]13,14,17]. Cela s'explique par le fait que le tableau clinique est souvent trompeur et tardif [11].…”

Section: Discussionunclassified