Spontaneous Heterotopic Pregnancy: Diagnosis and Management
Background. Heterotopic pregnancies albeit rare are conceivably life-threatening if missed. With the development of assisted reproductive techniques, the incidence has increased. Confirmation of an intrauterine pregnancy (IUP) should not preclude the existence of a heterotopic pregnancy. Case. A hea...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2022-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2022/2994808 |
| _version_ | 1798041107541524480 |
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| author | Katie P. Nguyen Marlekah Hudspeth Honey Milestone |
| author_facet | Katie P. Nguyen Marlekah Hudspeth Honey Milestone |
| author_sort | Katie P. Nguyen |
| collection | DOAJ |
| description | Background. Heterotopic pregnancies albeit rare are conceivably life-threatening if missed. With the development of assisted reproductive techniques, the incidence has increased. Confirmation of an intrauterine pregnancy (IUP) should not preclude the existence of a heterotopic pregnancy. Case. A healthy 27-year-old patient (gravida 4, term 1, preterm 0, abortion 2, living 1) at approximately 5 weeks gestation through natural conception presented to the emergency room with acute abdominal pain and vaginal bleeding. Pelvic ultrasound showed evidence of an IUP and a right adnexal mass, raising suspicion for a heterotopic pregnancy. The patient underwent an uncomplicated laparoscopic right salpingectomy. An IUP was confirmed on ultrasound postoperatively. The patient had an early pregnancy loss at 8 weeks of gestation. Conclusion. With a high index of suspicion from clinical presentation and pelvic imaging, heterotopic pregnancy, while rare, should not be ruled out. |
| first_indexed | 2024-04-11T22:16:53Z |
| format | Article |
| id | doaj.art-ff67f90b7d7746d29b3b6fd4cb1e0b1d |
| institution | Directory Open Access Journal |
| issn | 2090-6692 |
| language | English |
| last_indexed | 2024-04-11T22:16:53Z |
| publishDate | 2022-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj.art-ff67f90b7d7746d29b3b6fd4cb1e0b1d2022-12-22T04:00:21ZengHindawi LimitedCase Reports in Obstetrics and Gynecology2090-66922022-01-01202210.1155/2022/2994808Spontaneous Heterotopic Pregnancy: Diagnosis and ManagementKatie P. Nguyen0Marlekah Hudspeth1Honey Milestone2Department of Family MedicineUniversity of California RiversideDepartment of Obstetrics & GynecologyBackground. Heterotopic pregnancies albeit rare are conceivably life-threatening if missed. With the development of assisted reproductive techniques, the incidence has increased. Confirmation of an intrauterine pregnancy (IUP) should not preclude the existence of a heterotopic pregnancy. Case. A healthy 27-year-old patient (gravida 4, term 1, preterm 0, abortion 2, living 1) at approximately 5 weeks gestation through natural conception presented to the emergency room with acute abdominal pain and vaginal bleeding. Pelvic ultrasound showed evidence of an IUP and a right adnexal mass, raising suspicion for a heterotopic pregnancy. The patient underwent an uncomplicated laparoscopic right salpingectomy. An IUP was confirmed on ultrasound postoperatively. The patient had an early pregnancy loss at 8 weeks of gestation. Conclusion. With a high index of suspicion from clinical presentation and pelvic imaging, heterotopic pregnancy, while rare, should not be ruled out.http://dx.doi.org/10.1155/2022/2994808 |
| spellingShingle | Katie P. Nguyen Marlekah Hudspeth Honey Milestone Spontaneous Heterotopic Pregnancy: Diagnosis and Management Case Reports in Obstetrics and Gynecology |
| title | Spontaneous Heterotopic Pregnancy: Diagnosis and Management |
| title_full | Spontaneous Heterotopic Pregnancy: Diagnosis and Management |
| title_fullStr | Spontaneous Heterotopic Pregnancy: Diagnosis and Management |
| title_full_unstemmed | Spontaneous Heterotopic Pregnancy: Diagnosis and Management |
| title_short | Spontaneous Heterotopic Pregnancy: Diagnosis and Management |
| title_sort | spontaneous heterotopic pregnancy diagnosis and management |
| url | http://dx.doi.org/10.1155/2022/2994808 |
| work_keys_str_mv | AT katiepnguyen spontaneousheterotopicpregnancydiagnosisandmanagement AT marlekahhudspeth spontaneousheterotopicpregnancydiagnosisandmanagement AT honeymilestone spontaneousheterotopicpregnancydiagnosisandmanagement |