Cargando…
Term Spontaneous Heterotopic Pregnancy (Abdominal and Intrauterine): A Case Report
Spontaneous heterotopic pregnancy is a potentially life-threatening condition rarely considered when a patient with an intrauterine pregnancy is asymptomatic or presents with complaints such as abdominal pain. An advanced abdominal pregnancy is even more unusual as the form of the ectopic component...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Shiraz University of Medical Sciences
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525693/ https://www.ncbi.nlm.nih.gov/pubmed/34692872 http://dx.doi.org/10.30476/BEAT.2021.86588.1153 |
_version_ | 1784585735155744768 |
---|---|
author | Momtahan, Mozhde Kasraeean, Maryam Faraji, Azam Moradi-Alamdarloo, Shaghayegh Moosaie, Mina |
author_facet | Momtahan, Mozhde Kasraeean, Maryam Faraji, Azam Moradi-Alamdarloo, Shaghayegh Moosaie, Mina |
author_sort | Momtahan, Mozhde |
collection | PubMed |
description | Spontaneous heterotopic pregnancy is a potentially life-threatening condition rarely considered when a patient with an intrauterine pregnancy is asymptomatic or presents with complaints such as abdominal pain. An advanced abdominal pregnancy is even more unusual as the form of the ectopic component outside the context of assisted reproduction and is difficult in diagnosis with very few cases reported in the literature. We report such a case in a 31-year-old primigravida with heterotopic pregnancy which is a fetus in the uterine cavity and the other in the abdominal cavity. Her pregnancy was initially misdiagnosed and managed as a di-amniotic di-chorionic gestation. The correct diagnosis was only made after term delivery of the intrauterine pregnancy. The patient was complicated with severe bleeding which led to disseminated intravascular coagulopathy and massive transfusion. Two other operations were imposed on the patient because of bleeding. The clinical risk factor for ectopic pregnancy was only previous pelvic inflammatory disease in this woman. |
format | Online Article Text |
id | pubmed-8525693 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Shiraz University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-85256932021-10-22 Term Spontaneous Heterotopic Pregnancy (Abdominal and Intrauterine): A Case Report Momtahan, Mozhde Kasraeean, Maryam Faraji, Azam Moradi-Alamdarloo, Shaghayegh Moosaie, Mina Bull Emerg Trauma Case Report Spontaneous heterotopic pregnancy is a potentially life-threatening condition rarely considered when a patient with an intrauterine pregnancy is asymptomatic or presents with complaints such as abdominal pain. An advanced abdominal pregnancy is even more unusual as the form of the ectopic component outside the context of assisted reproduction and is difficult in diagnosis with very few cases reported in the literature. We report such a case in a 31-year-old primigravida with heterotopic pregnancy which is a fetus in the uterine cavity and the other in the abdominal cavity. Her pregnancy was initially misdiagnosed and managed as a di-amniotic di-chorionic gestation. The correct diagnosis was only made after term delivery of the intrauterine pregnancy. The patient was complicated with severe bleeding which led to disseminated intravascular coagulopathy and massive transfusion. Two other operations were imposed on the patient because of bleeding. The clinical risk factor for ectopic pregnancy was only previous pelvic inflammatory disease in this woman. Shiraz University of Medical Sciences 2021-10 /pmc/articles/PMC8525693/ /pubmed/34692872 http://dx.doi.org/10.30476/BEAT.2021.86588.1153 Text en https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Momtahan, Mozhde Kasraeean, Maryam Faraji, Azam Moradi-Alamdarloo, Shaghayegh Moosaie, Mina Term Spontaneous Heterotopic Pregnancy (Abdominal and Intrauterine): A Case Report |
title | Term Spontaneous Heterotopic Pregnancy (Abdominal and Intrauterine): A Case Report |
title_full | Term Spontaneous Heterotopic Pregnancy (Abdominal and Intrauterine): A Case Report |
title_fullStr | Term Spontaneous Heterotopic Pregnancy (Abdominal and Intrauterine): A Case Report |
title_full_unstemmed | Term Spontaneous Heterotopic Pregnancy (Abdominal and Intrauterine): A Case Report |
title_short | Term Spontaneous Heterotopic Pregnancy (Abdominal and Intrauterine): A Case Report |
title_sort | term spontaneous heterotopic pregnancy (abdominal and intrauterine): a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525693/ https://www.ncbi.nlm.nih.gov/pubmed/34692872 http://dx.doi.org/10.30476/BEAT.2021.86588.1153 |
work_keys_str_mv | AT momtahanmozhde termspontaneousheterotopicpregnancyabdominalandintrauterineacasereport AT kasraeeanmaryam termspontaneousheterotopicpregnancyabdominalandintrauterineacasereport AT farajiazam termspontaneousheterotopicpregnancyabdominalandintrauterineacasereport AT moradialamdarlooshaghayegh termspontaneousheterotopicpregnancyabdominalandintrauterineacasereport AT moosaiemina termspontaneousheterotopicpregnancyabdominalandintrauterineacasereport |