Heterotopic pregnancy – how easily you can go wrong in diagnosing? A case study
Introduction: Heterotopic pregnancy is a rare, but potentially life-threatening pathology. The diagnosis of heterotopic pregnancy is still one of the biggest challenges in modern gynecology. The incidence of those pregnancies in natural conception is about 1:30000. Case presentation: We present an...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2018-12-01
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| Series: | Journal of Ultrasonography |
| Subjects: | |
| Online Access: | http://jultrason.pl/index.php/issues/volume-18-no-75/heterotopic-pregnancy-how-easily-you-can-go-wrong-in-diagnosing-a-case-study?aid=684 |
| Summary: | Introduction: Heterotopic pregnancy is a rare, but potentially life-threatening pathology.
The diagnosis of heterotopic pregnancy is still one of the biggest challenges in modern gynecology. The incidence of those pregnancies in natural conception is about 1:30000. Case presentation: We present an unusual case of a heterotopic pregnancy which was misdiagnosed
in the first trimester as a dichorionic twin pregnancy. At 13 weeks of gestation, the patient
presented with an acute abdomen, she was diagnosed with a heterotopic pregnancy, and
therefore was operated on, with the excision of the ruptured fallopian tube and the ectopic
pregnancy performed. Discussion: The presence of an intrauterine pregnancy does not rule
out the presence of a coexisting ectopic pregnancy. Clinicians should always keep in mind
that a heterotopic pregnancy may occur in a woman of reproductive age. Careful ultrasound
scan of the uterus and appendages is a must in all women of reproductive age with clinical
symptoms. |
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| ISSN: | 2084-8404 2451-070X |