Live birth after treatment of a ruptured ectopic in a spontaneous heterotopic pregnancy
Heterotopic pregnancy, though more common in pregnancies achieved by assisted reproduction, is extremely rare following natural conception. Owing to this rarity, the diagnosis is oftentimes missed or made late, usually following rupture of the extrauterine gestation. Heterotopic pregnancy, therefore...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Nigerian Journal of Medicine |
| Subjects: | |
| Online Access: | http://www.njmonline.org/article.asp?issn=1115-2613;year=2021;volume=30;issue=4;spage=476;epage=477;aulast=Ubom |
| _version_ | 1818898584456658944 |
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| author | Akaninyene Eseme Ubom Alexander Tuesday Owolabi Oluwatoyin Oyenike Fadare Jerrie Akinyemi Akindojutimi Isiaka Ayofe Adekunle |
| author_facet | Akaninyene Eseme Ubom Alexander Tuesday Owolabi Oluwatoyin Oyenike Fadare Jerrie Akinyemi Akindojutimi Isiaka Ayofe Adekunle |
| author_sort | Akaninyene Eseme Ubom |
| collection | DOAJ |
| description | Heterotopic pregnancy, though more common in pregnancies achieved by assisted reproduction, is extremely rare following natural conception. Owing to this rarity, the diagnosis is oftentimes missed or made late, usually following rupture of the extrauterine gestation. Heterotopic pregnancy, therefore, expectedly carries significant maternal mortality and morbidity. With the advancement in assisted reproductive techniques, and improvement in the diagnosis of ectopics using transvaginal ultrasound and beta-human chorionic gonadotropin assay, the frequency of heterotopic pregnancy is likely to increase, especially so in a country like Nigeria, with high twinning and ectopic pregnancy rates. To promptly diagnose heterotopic pregnancy and timely intervene, a high level of clinical suspicion is required. This would mitigate maternal morbidity and mortality, as well as preserve and continue the intrauterine pregnancy. With early diagnosis and prompt intervention, intrauterine pregnancy has a favourable outcome in the majority of cases. We present a 37-year-old multigravida with naturally conceived heterotopic pregnancy, in which the ectopic pregnancy ruptured. She subsequently had spontaneous vaginal delivery following surgical management (laparotomy) of the ruptured ectopic pregnancy. |
| first_indexed | 2024-12-19T19:34:24Z |
| format | Article |
| id | doaj.art-28f164b65ba744ff86e5a50699086889 |
| institution | Directory Open Access Journal |
| issn | 1115-2613 |
| language | English |
| last_indexed | 2024-12-19T19:34:24Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Journal of Medicine |
| spelling | doaj.art-28f164b65ba744ff86e5a506990868892022-12-21T20:08:31ZengWolters Kluwer Medknow PublicationsNigerian Journal of Medicine1115-26132021-01-0130447647710.4103/NJM.NJM_101_21Live birth after treatment of a ruptured ectopic in a spontaneous heterotopic pregnancyAkaninyene Eseme UbomAlexander Tuesday OwolabiOluwatoyin Oyenike FadareJerrie Akinyemi AkindojutimiIsiaka Ayofe AdekunleHeterotopic pregnancy, though more common in pregnancies achieved by assisted reproduction, is extremely rare following natural conception. Owing to this rarity, the diagnosis is oftentimes missed or made late, usually following rupture of the extrauterine gestation. Heterotopic pregnancy, therefore, expectedly carries significant maternal mortality and morbidity. With the advancement in assisted reproductive techniques, and improvement in the diagnosis of ectopics using transvaginal ultrasound and beta-human chorionic gonadotropin assay, the frequency of heterotopic pregnancy is likely to increase, especially so in a country like Nigeria, with high twinning and ectopic pregnancy rates. To promptly diagnose heterotopic pregnancy and timely intervene, a high level of clinical suspicion is required. This would mitigate maternal morbidity and mortality, as well as preserve and continue the intrauterine pregnancy. With early diagnosis and prompt intervention, intrauterine pregnancy has a favourable outcome in the majority of cases. We present a 37-year-old multigravida with naturally conceived heterotopic pregnancy, in which the ectopic pregnancy ruptured. She subsequently had spontaneous vaginal delivery following surgical management (laparotomy) of the ruptured ectopic pregnancy.http://www.njmonline.org/article.asp?issn=1115-2613;year=2021;volume=30;issue=4;spage=476;epage=477;aulast=Ubomectopic pregnancyheterotopic pregnancylaparotomynatural conceptionsalpingectomy |
| spellingShingle | Akaninyene Eseme Ubom Alexander Tuesday Owolabi Oluwatoyin Oyenike Fadare Jerrie Akinyemi Akindojutimi Isiaka Ayofe Adekunle Live birth after treatment of a ruptured ectopic in a spontaneous heterotopic pregnancy Nigerian Journal of Medicine ectopic pregnancy heterotopic pregnancy laparotomy natural conception salpingectomy |
| title | Live birth after treatment of a ruptured ectopic in a spontaneous heterotopic pregnancy |
| title_full | Live birth after treatment of a ruptured ectopic in a spontaneous heterotopic pregnancy |
| title_fullStr | Live birth after treatment of a ruptured ectopic in a spontaneous heterotopic pregnancy |
| title_full_unstemmed | Live birth after treatment of a ruptured ectopic in a spontaneous heterotopic pregnancy |
| title_short | Live birth after treatment of a ruptured ectopic in a spontaneous heterotopic pregnancy |
| title_sort | live birth after treatment of a ruptured ectopic in a spontaneous heterotopic pregnancy |
| topic | ectopic pregnancy heterotopic pregnancy laparotomy natural conception salpingectomy |
| url | http://www.njmonline.org/article.asp?issn=1115-2613;year=2021;volume=30;issue=4;spage=476;epage=477;aulast=Ubom |
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