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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...

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Autores principales: Momtahan, Mozhde, Kasraeean, Maryam, Faraji, Azam, Moradi-Alamdarloo, Shaghayegh, Moosaie, Mina
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
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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.
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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
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