scholarly journals Second Trimester Heterotopic Triplet Pregnancy with Intrauterine Twin Pregnancy and Ruptured Interstitial Pregnancy: A Maternal Near-Miss Case Report

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Charles Nkurunziza ◽  
Theogene Rurangwa ◽  
Vincent Ngendahimana ◽  
Urania Magriples
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Twin Pregnancy ◽  
Near Miss ◽  
Second Trimester ◽  
Triplet Pregnancy ◽  
Interstitial Pregnancy ◽  
Threatening Condition ◽  
Life Threatening ◽  
Twin Pregnancies

Heterotopic pregnancy is defined as the occurrence of simultaneous intrauterine and extrauterine pregnancies. It is a rare, potentially life-threatening condition and infrequent in natural conceptions. Here, we report a case of spontaneous heterotopic triplet pregnancy with ruptured cornual ectopic pregnancy and simultaneous twin intrauterine pregnancies at 18 weeks of gestation. The event led to miscarriage of all fetuses from both the ectopic and the intrauterine twin pregnancies.

scholarly journals Recurrent ipsilateral ectopic pregnancy after partial salpingectomy: case-report

2018 ◽  
Vol 7 (7) ◽  
pp. 2930
Author(s):  
Tanjona Andriamanetsiarivo Ratsiatosika ◽  
Romuald Randriamahavonjy ◽  
Baco Abdallah Abasse ◽  
Mahefarisoa Fnat ◽  
Ibrahim Housni ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Vaginal Bleeding ◽  
Postoperative Recovery ◽  
Common Site ◽  
Threatening Condition ◽  
Life Threatening ◽  
Bilateral Salpingectomy

Ectopic pregnancy is a life-threatening condition occurring in 1-2% of all pregnancies. The most common site of implantation for an ectopic pregnancy is the fallopian tube. Authors report a case of recurrent ipsilateral ectopic pregnancy following right partial salpingectomy of a 29-Year-Old woman that led to tubal rupture. The pregnancy was conceived spontaneously. Diagnostic of ruptured ectopic pregnancy was done after clinical and ultrasonography examination. The presence of a massive hemoperitoneum with a positive pregnancy urinary test that lead us to the diagnosis of ectopic pregnancy. She underwent a laparotomy for a suspicion of ruptured ectopic pregnancy. The ectopic pregnancy was identified in the left remnant fallopian tube. Partial salpingectomy, removal of tubal stump, and resection of the uterine cornua, was performed. The postoperative recovery was uneventful. She has stayed for five days at the Hospital. All patients, even though they have already received a definitive contraception by tubal section and ligature or unilateral or by bilateral salpingectomy for any reason, must seek an ectopic pregnancy in case of pelvic pain, vaginal bleeding and/ or amenorrhea. Authors propose to carry a total salpingectomy after a chosen surgical treatment.

scholarly journals Case Report: severe hemoperitoneum due to spontaneous rupture of uterine vessels during the second trimester of pregnancy

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 568
Author(s):  
G.V. Ishara Geelaka Bandara Jayarathna ◽  
G.K. Chaminda Jayalath ◽  
Ramya Pathiraja
Keyword(s):  
Case Report ◽  
Spontaneous Rupture ◽  
Emergency Laparotomy ◽  
Second Trimester ◽  
Rare Occurrence ◽  
Healthy Baby ◽  
Induced Hypertension ◽  
Threatening Condition ◽  
Life Threatening ◽  
Uterine Vessels

Spontaneous rupture of uterine vessels during pregnancy is a life-threatening condition though, it has a rare occurrence. This case report discusses about a 32-year-old lady at 16 weeks of gestation presented with spontaneous rupture of uterine artery and she was managed with emergency laparotomy with suturing of ruptured artery. She had delivered a healthy baby after 37 weeks of gestation by a caesarean section due to pregnancy induced hypertension at 36 weeks of gestation.

scholarly journals Chronic Tubal Ectopic Pregnancy with Diagnostic Conundrum: A Case Report

2021 ◽  
Vol 6 (2) ◽  
pp. 192-194
Author(s):  
Vishal Sharma ◽  
Ravi Dutt Wadhwa
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Gestational Age ◽  
First Trimester ◽  
Present Case Report ◽  
Tubal Ectopic Pregnancy ◽  
Threatening Condition ◽  
Life Threatening ◽  
First Trimester Of Pregnancy ◽  
Ectopic Pregnancies

Ectopic pregnancy is a life threatening condition and mostly ectopic pregnancies occurs in fallopian tube. The most common site of ectopic tubal pregnancy is ampulla. Ectopic pregnancy is a complication of pregnancy and usually easy to diagnose by ultrasonography during the first trimester of pregnancy. Due to limited healthcare resources in developing countries, women do not undergo for ultrasound examination during pregnancy which leads to late diagnosis. In most of cases women with ectopic pregnancy are asymptomatic, unless ruptured. The mean gestational age for clinical presentation of ectopic pregnancy is 7.2 weeks after the last normal menstrual period. In rural population, late presentations of ectopic pregnancies are more commonly seen because of lack of modern diagnostic ability. Present case report is a rare case of non-viable, unruptured, tubal ampullary chronic ectopic pregnancy of 12 weeks gestational age. Keywords: Ectopic pregnancy, Unruptured, gestational age, ultrasonography.

scholarly journals Case Report: severe hemoperitoneum due to spontaneous rupture of uterine vessels during the second trimester of pregnancy

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 568
Author(s):  
G.K.C. Jayalath ◽  
Ramya Pathiraja ◽  
G.V. Ishara Geelaka Bandara Jayarathna
Keyword(s):  
Case Report ◽  
Spontaneous Rupture ◽  
Emergency Laparotomy ◽  
Second Trimester ◽  
Rare Occurrence ◽  
Healthy Baby ◽  
Induced Hypertension ◽  
Threatening Condition ◽  
Life Threatening ◽  
Uterine Vessels

Spontaneous rupture of uterine vessels during pregnancy is a life-threatening condition though, it has a rare occurrence. This case report discusses about a 32-year-old lady at 16 weeks of gestation presented with spontaneous rupture of uterine artery and she was managed with emergency laparotomy with suturing of ruptured artery. She had delivered a healthy baby after 37 weeks of gestation by a caesarean section due to pregnancy induced hypertension at 36 weeks of gestation.

scholarly journals Disturbed Interstitial Pregnancy: A First Case of Successful Treatment Using a Mini-Laparoscopic Approach

Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 215 ◽  
Author(s):  
Latchesar Tantchev ◽  
Andrey Kotzev ◽  
Angel Yordanov
Keyword(s):  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Laparoscopic Approach ◽  
Massive Hemorrhage ◽  
Interstitial Pregnancy ◽  
First Case ◽  
Threatening Condition ◽  
Life Threatening ◽  
Interstitial Ectopic Pregnancy ◽  
Experienced Team

Interstitial ectopic pregnancy (EP) is a life-threatening condition due to the risk of massive hemorrhage in the event of its disturbance. We present the case of a 27-year-old patient who was admitted with massive hemoperitoneum, caused by the rupture of an interstitial pregnancy in the area of the fallopian tube stump, which had been removed after a previous ectopic pregnancy. The condition was overcome using a mini-laparoscopic approach (2.6 mm, 30° optics), with one 3 mm port for micro-laparoscopic instruments and one 10 mm port. Such an approach has not yet been reported in the available literature, among the casuistically reported cases of pregnancy in the tubal stump. We consider that the technique is safe, completely in the interest of the patient, applicable by an experienced team, and in agreement with modern trends regarding the minimization of operative access.

scholarly journals Awareness about a Life-Threatening Condition: Ectopic Pregnancy in a Network for Surveillance of Severe Maternal Morbidity in Brazil

2014 ◽  
Vol 2014 ◽  
pp. 1-8
Author(s):  
Edilberto Alves Rocha Filho ◽  
Danielly Scaranello Santana ◽  
Jose Guilherme Cecatti ◽  
Maria Laura Costa ◽  
Samira Maerrawe Haddad ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Maternal Morbidity ◽  
Cross Sectional Study ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Care Providers ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Threatening Condition ◽  
Life Threatening

Objective.To assess occurrence of severe maternal complications associated with ectopic pregnancy (EP).Method.A multicenter cross-sectional study was conducted, with prospective surveillance of potentially life-threatening conditions (PLTC), maternal near miss (MNM), and maternal death (MD). EP complications, patient sociodemographic/obstetric characteristics, and conditions of severity management were assessed, estimating prevalence ratios with respective 95% CI. Factors independently associated with greater severity were identified using multiple regression analysis.Results.Of the 9.555 severe maternal morbidity patients, 312 women (3.3%) had complications after EP: 286 (91.7%) PLTC, 25 (8.0%) MNM, and 1 (0.3%) MD. Severe maternal outcome ratio (SMOR) was 0.3/1000 LB among EP cases and 10.8/1000 LB among other causes. Complicated EP patients faced a higher risk of blood transfusion, laparotomy, and lower risk of ICU admission and prolonged hospitalization than women developing complications resulting from other causes. Substandard care was the most common in more severe maternal morbidity and EP cases (22.7% MNM and MD versus 15% PLTC), although not significant.Conclusion.Increased maternal morbidity due to EP raised awareness about the condition and its impact on female reproductive life. No important risk factors for greater severity were identified. Care providers should develop specific guidelines and interventions to prevent severe maternal morbidity.

scholarly journals A Rare Localization of Ectopic Pregnancy: Intramyometrial Pregnancy in Twin Pregnancy following IVF

2014 ◽  
Vol 2014 ◽  
pp. 1-2 ◽  
Author(s):  
Lahcen Boukhanni ◽  
Yassir Ait Benkaddour ◽  
Ahlam Bassir ◽  
Abdrahim Aboulfalah ◽  
Hamid Asmouki ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Spontaneous Abortion ◽  
Pelvic Pain ◽  
Uterine Rupture ◽  
Twin Pregnancy ◽  
Rare Form ◽  
Normal Fetus ◽  
Threatening Condition ◽  
Diagnostic Difficulties ◽  
Life Threatening

Intramyometrial pregnancy is a rare form of ectopic pregnancy. It makes a diagnostic and therapeutic challenge. If misdiagnosed the intramyometrial pregnancy can cause a uterine rupture and become life-threatening condition. We report a case of intramyometrial pregnancy in twin pregnancy following IVF with spontaneous abortion of the first twin At 9 weeks of gestation. The 10 weeks scan showed a normal fetus which was described to be highly localized in the uterus but the diagnosis of intramyometrial pregnancy was not suspected. The patient was admitted at 14 weeks of gestation with pelvic pain, hemorrhage, and shock. She was operated and the diagnosis of ruptured intramyometrial pregnancy was done and managed conservatively. This case illustrates the diagnostic difficulties of intramyometrial pregnancy. We discuss pathophysiology, diagnosis, and treatment of this exceptional form of ectopic pregnancy.

scholarly journals Primary Hyperparathyroidism in Pregnancy—A Rare Cause of Life-Threatening Hypercalcemia: Case Report and Literature Review

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
S. Malekar-Raikar ◽  
B. P. Sinnott
Keyword(s):  
Case Report ◽  
Primary Hyperparathyroidism ◽  
Relevant Literature ◽  
Pregnant Patient ◽  
Second Trimester ◽  
Baby Girl ◽  
Healthy Baby ◽  
Intraoperative Pth ◽  
Threatening Condition ◽  
Life Threatening

Objective. To report a case of primary hyperparathyroidism in a pregnant patient, report the obstetric and neonatal outcomes, and review the relevant literature.Results. A 29-year-old primigravida was successfully treated for PHP with minimally invasive resection of a parathyroid adenoma in the second trimester of pregnancy. A healthy baby girl was delivered at 37-week gestation with an unremarkable neonatal course. To the best of our knowledge, this is the second case report in the literature utilizing intraoperative PTH during a parathyroidectomy in a pregnant woman.Conclusions. Primary hyperparathyroidism is a rare life-threatening condition that can present during pregnancy. The diagnosis can be difficult to establish during pregnancy, given the nonspecific symptoms related to hypercalcemia. However, a better understanding of the condition, improved diagnostic studies, and well-organized multidisciplinary management decisions can significantly reduce the morbidity and mortality associated with the disease during pregnancy. This case report is presented to highlight the value of early diagnosis and appropriate management of PHP during pregnancy.

scholarly journals A Rare Coincidence—a Second Trimester Ectopic Pregnancy Following Early Medical Abortion: a Case Report

2021 ◽  
Vol 3 (1) ◽  
pp. 363-366
Author(s):  
Claire M. McCarthy ◽  
D. Hayes-Ryan ◽  
C. Harrity ◽  
J. Hogan ◽  
R. Roopnarinesingh ◽  
...  
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Medical Abortion ◽  
Second Trimester

Heterotopic pregnancy; case report

2019 ◽  
Vol 7 (05) ◽  
Author(s):  
Vipul R. Khandagale
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Adnexal Mass ◽  
Heterotopic Pregnancy ◽  
Free Fluid ◽  
Threatening Condition ◽  
Life Threatening ◽  
Ectopic Pregnancies ◽  
High Index Of Suspicion ◽  
Low Risk Women

Heterotopic pregnancy is a rare clinical condition in which intrauterine and extrauterine pregnancies occur at the same time. It can be a life threatening condition and easily missed with the diagnosis. We present the case of a 37 year old patient who was treated for a heterotopic pregnancy with live intrauterine gestation and ruptured left adnexal gestation.The ectopic pregnancy was not suspected at her initial presentation. A high index of suspicion is needed in women with risk factors for an ectopic pregnancy and in low risk women who have free fluid with or without an adnexal mass with an intrauterine gestation.It is difficult to estimate exactly the incidence of ectopic pregnancies, but on an average it is approximately 1:300 normal pregnancies worldwide.

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