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Heterotopic Pregnancy: A Difficult and Rarely Considered Diagnosis

A 34-year-old pregnant female presented to the emergency department (ED) with complaints of abdominal pain and vaginal bleeding for two days. The day prior, she was evaluated by her obstetrician and gynecologist with a transvaginal ultrasound demonstrating an intrauterine pregnancy at approximately...

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Detalles Bibliográficos
Autores principales: Crum, Joseph M, Levitin, Howard W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132398/
https://www.ncbi.nlm.nih.gov/pubmed/37123673
http://dx.doi.org/10.7759/cureus.36749
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author Crum, Joseph M
Levitin, Howard W
author_facet Crum, Joseph M
Levitin, Howard W
author_sort Crum, Joseph M
collection PubMed
description A 34-year-old pregnant female presented to the emergency department (ED) with complaints of abdominal pain and vaginal bleeding for two days. The day prior, she was evaluated by her obstetrician and gynecologist with a transvaginal ultrasound demonstrating an intrauterine pregnancy at approximately six weeks gestation. After treatment of symptoms and reassuring laboratory testing, she went home. However, she returned two days later with worsening complaints. It was discovered that the patient had a heterotopic pregnancy, or a concomitant intrauterine and extrauterine pregnancy, resulting from natural conception in the absence of identifiable risk factors. While exceedingly rare, this diagnosis is frequently missed and associated with significant maternal morbidity and mortality if unrecognized.
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spelling pubmed-101323982023-04-27 Heterotopic Pregnancy: A Difficult and Rarely Considered Diagnosis Crum, Joseph M Levitin, Howard W Cureus Emergency Medicine A 34-year-old pregnant female presented to the emergency department (ED) with complaints of abdominal pain and vaginal bleeding for two days. The day prior, she was evaluated by her obstetrician and gynecologist with a transvaginal ultrasound demonstrating an intrauterine pregnancy at approximately six weeks gestation. After treatment of symptoms and reassuring laboratory testing, she went home. However, she returned two days later with worsening complaints. It was discovered that the patient had a heterotopic pregnancy, or a concomitant intrauterine and extrauterine pregnancy, resulting from natural conception in the absence of identifiable risk factors. While exceedingly rare, this diagnosis is frequently missed and associated with significant maternal morbidity and mortality if unrecognized. Cureus 2023-03-27 /pmc/articles/PMC10132398/ /pubmed/37123673 http://dx.doi.org/10.7759/cureus.36749 Text en Copyright © 2023, Crum et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Crum, Joseph M
Levitin, Howard W
Heterotopic Pregnancy: A Difficult and Rarely Considered Diagnosis
title Heterotopic Pregnancy: A Difficult and Rarely Considered Diagnosis
title_full Heterotopic Pregnancy: A Difficult and Rarely Considered Diagnosis
title_fullStr Heterotopic Pregnancy: A Difficult and Rarely Considered Diagnosis
title_full_unstemmed Heterotopic Pregnancy: A Difficult and Rarely Considered Diagnosis
title_short Heterotopic Pregnancy: A Difficult and Rarely Considered Diagnosis
title_sort heterotopic pregnancy: a difficult and rarely considered diagnosis
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132398/
https://www.ncbi.nlm.nih.gov/pubmed/37123673
http://dx.doi.org/10.7759/cureus.36749
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