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Atypical presentations of ectopic pregnancies in a rural tertiary care hospital—A case series

In spite of advances in medical sciences, diagnosis of ectopic pregnancy eludes the clinician. In this case series, we describe three variants of life-threatening pregnancies. The successful management of these cases hinged on a strong index of suspicion and early detection. Heterotopic pregnancy is...

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Autores principales: Nongrum, Saahil Manna L., Bhandari, Purnima, Jain, Shuchi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10131951/
https://www.ncbi.nlm.nih.gov/pubmed/37122663
http://dx.doi.org/10.4103/jfmpc.jfmpc_623_22
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author Nongrum, Saahil Manna L.
Bhandari, Purnima
Jain, Shuchi
author_facet Nongrum, Saahil Manna L.
Bhandari, Purnima
Jain, Shuchi
author_sort Nongrum, Saahil Manna L.
collection PubMed
description In spite of advances in medical sciences, diagnosis of ectopic pregnancy eludes the clinician. In this case series, we describe three variants of life-threatening pregnancies. The successful management of these cases hinged on a strong index of suspicion and early detection. Heterotopic pregnancy is the occurrence of two pregnancies in different implantation sites at the same time, which is uncommon. Heterotopic pregnancy is uncommon in natural conception, despite its prevalence in assisted reproductive technologies. A strong index of suspicion and timely laparotomy was life-saving for the woman. Caesarean scar pregnancy is a form of ectopic pregnancy in which an aberrant pregnancy is implanted at the hysterotomy site of a prior caesarean procedure. Unexplained excessive bleeding at the time of medical termination of pregnancy prompted us to explore and make a timely diagnosis of caesarean scar pregnancy. Finally, tubal choriocarcinoma is a very aggressive, extremely rare trophoblastic tumour that can be either gestational or non-gestational. High serum beta HCG raised the suspicion and timely laparotomy confirmed the diagnosis. An alert clinician who takes timely decisions can avert life-threatening complications in these pregnancies.
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spelling pubmed-101319512023-04-27 Atypical presentations of ectopic pregnancies in a rural tertiary care hospital—A case series Nongrum, Saahil Manna L. Bhandari, Purnima Jain, Shuchi J Family Med Prim Care Case Series In spite of advances in medical sciences, diagnosis of ectopic pregnancy eludes the clinician. In this case series, we describe three variants of life-threatening pregnancies. The successful management of these cases hinged on a strong index of suspicion and early detection. Heterotopic pregnancy is the occurrence of two pregnancies in different implantation sites at the same time, which is uncommon. Heterotopic pregnancy is uncommon in natural conception, despite its prevalence in assisted reproductive technologies. A strong index of suspicion and timely laparotomy was life-saving for the woman. Caesarean scar pregnancy is a form of ectopic pregnancy in which an aberrant pregnancy is implanted at the hysterotomy site of a prior caesarean procedure. Unexplained excessive bleeding at the time of medical termination of pregnancy prompted us to explore and make a timely diagnosis of caesarean scar pregnancy. Finally, tubal choriocarcinoma is a very aggressive, extremely rare trophoblastic tumour that can be either gestational or non-gestational. High serum beta HCG raised the suspicion and timely laparotomy confirmed the diagnosis. An alert clinician who takes timely decisions can avert life-threatening complications in these pregnancies. Wolters Kluwer - Medknow 2023-03 2023-03-17 /pmc/articles/PMC10131951/ /pubmed/37122663 http://dx.doi.org/10.4103/jfmpc.jfmpc_623_22 Text en Copyright: © 2023 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Series
Nongrum, Saahil Manna L.
Bhandari, Purnima
Jain, Shuchi
Atypical presentations of ectopic pregnancies in a rural tertiary care hospital—A case series
title Atypical presentations of ectopic pregnancies in a rural tertiary care hospital—A case series
title_full Atypical presentations of ectopic pregnancies in a rural tertiary care hospital—A case series
title_fullStr Atypical presentations of ectopic pregnancies in a rural tertiary care hospital—A case series
title_full_unstemmed Atypical presentations of ectopic pregnancies in a rural tertiary care hospital—A case series
title_short Atypical presentations of ectopic pregnancies in a rural tertiary care hospital—A case series
title_sort atypical presentations of ectopic pregnancies in a rural tertiary care hospital—a case series
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10131951/
https://www.ncbi.nlm.nih.gov/pubmed/37122663
http://dx.doi.org/10.4103/jfmpc.jfmpc_623_22
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