Blighted ovum and tubal pregnancy: a rare form of heterotopic pregnancy: case report

Bilateral tubal pregnancy (BTP) is a very rare form of ectopic twin gestation. Many times, they occur after the use of assisted reproductive therapy. Most cases of BTP are diagnosed during laparoscopy. This case report demonstrates a rare preoperative, sonography diagnosis of a spontaneous BTP which occurred after a tubal ligation. The sonogram revealed two corpus luteal cysts, both located on the right ovary, which suggests that the left tubal pregnancy most likely occurred as a result of ovum transmigration. This case demonstrates the important role that sonography plays in the early diagnosis of ectopic pregnancies as well as the importance of thoroughly examining the entire pelvis during a pelvic sonogram.

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Heterotopic Pregnancy: A Clinical Case Report

Bangladesh Medical Journal ◽

10.3329/bmj.v39i3.9950 ◽

1970 ◽

Vol 39 (3) ◽

Author(s):

S Chowdhury ◽

T Chowdhury

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Ectopic Pregnancy ◽

Clinical Examination ◽

Clinical Case ◽

Lower Abdominal Pain ◽

Tubal Pregnancy ◽

Heterotopic Pregnancy ◽

Intrauterine Pregnancy ◽

Ectopic Pregnancies

Heterotopic pregnancy is coexistence of intrauterine and extrauterine pregnancies that is ectopic pregnancies. It is said to be rare. Here we report a case of 27 years old woman with heterotopic pregnancy. Patient had a typical presentation of severe lower abdominal pain following amenorrhoea for 2½ months. On clinical examination, there was suspicion of ectopic pregnancy but ultrasonography revealed early intrauterine pregnancy along with right tubal pregnancy with huge collection in abdomen . Immediate laparotomy was done and diagnosis was confirmed as a case of heterotopic pregnancy.DOI: http://dx.doi.org/10.3329/bmj.v39i3.9950 BMJ 2010; 39(3)

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Heterotopic Pregnancy in Natural Conception – A Case Report

International Journal of Women’s Health Care ◽

10.33140/ijwhc.06.03.06 ◽

2021 ◽

Vol 6 (3) ◽

Keyword(s):

Case Report ◽

Ultrasound Examination ◽

Tubal Pregnancy ◽

High Index ◽

Assisted Reproductive Techniques ◽

Heterotopic Pregnancy ◽

Timely Diagnosis ◽

Reproductive Techniques ◽

Natural Conception ◽

High Index Of Suspicion

Heterotopic gestation is very rare in natural conception but can be common with assisted reproductive techniques; a high index of suspicion can help in timely diagnosis and appropriate intervention. We report a case of heterotopic pregnancy in a 32-year-old woman presented with hemoperitoneum from ruptured right sided tubal pregnancy with live intrauterine gestation at 12 weeks of amenorrhea, diagnosed on clinical and ultrasound examination.

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Missed Diagnosis of a Heterotopic Pregnancy with Tubal Rupture: A Case Report

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v7i2.11142 ◽

2014 ◽

Vol 7 (2) ◽

pp. 40-42 ◽

Cited By ~ 1

Author(s):

B Sharma

Keyword(s):

Case Report ◽

Ovulation Induction ◽

Clomiphene Citrate ◽

Tubal Pregnancy ◽

Initial Presentation ◽

Heterotopic Pregnancy ◽

Obstetrics And Gynaecology ◽

Missed Diagnosis ◽

High Index Of Suspicion ◽

Time Of Operation

We report a combined intra-uterine and ruptured tubal pregnancy following ovulation induction by clomiphene citrate(CC).She was a 35 year old multigravida who presented with a ruptured tubal pregnancy and underwent right salphingectomy. Three months later, she presented with amenorrhea from the time of operation and an intra-uterine pregnancy was confirmed. Previous ultrasound at her initial presentation, did not reveal an intra-uterine pregnancy. The second ultrasound dating indicated that the intra-uterine conception had occurred before the tubal pregnancy was diagnosed. Therefore, a high index of suspicion for heterotopic pregnancy is needed in woman taking ovulation inducing drugs. DOI: http://www.dx.doi.org/10.3126/njog.v7i2.11142 Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 40-42

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Cystic struma ovarii, a rare form of ovarian tumor – a case report, and review of the literature

Orvosi Hetilap ◽

10.1556/oh.2007.28202 ◽

2007 ◽

Vol 148 (48) ◽

pp. 2285-2287 ◽

Cited By ~ 1

Author(s):

Gabriella Östör ◽

Ildikó Tóth ◽

Zsuzsanna Hrubyné Tóth ◽

Sándor Bazsa

Keyword(s):

Case Report ◽

Ovarian Tumor ◽

Ca 125 ◽

Struma Ovarii ◽

Review Of The Literature ◽

Rare Form

Az ovarialis strumák a petefészek-teratomák kevesebb mint 3%-át adják. Megjelenhet bennük a pajzsmirigy szinte minden betegsége, és előfordulhat malignitás is. A szerzők esetében egy 31 éves nő bal oldali petefészekcisztáját távolították el, amely az ovariumcarcinoma klinikai tüneteit mutatta, úgymint nagy hasi térfoglalás, ascites, emelkedett szérum-CA 125-szint. A szövettani diagnózis benignus struma ovarii volt. A posztoperatív pajzsmirigyműködés normális maradt.

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Heterotopic Quadruplet Pregnancy. Literature Review and Case Report

Medicina ◽

10.3390/medicina57050483 ◽

2021 ◽

Vol 57 (5) ◽

pp. 483

Author(s):

Brîndușa Cimpoca ◽

Amira Moldoveanu ◽

Nicolae Gică ◽

Corina Gică ◽

Anca Marina Ciobanu ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Ectopic Pregnancy ◽

Assisted Reproductive Techniques ◽

Heterotopic Pregnancy ◽

Management Options ◽

Reproductive Techniques ◽

Natural Conception

Heterotopic pregnancy is the condition where both intrauterine and ectopic pregnancy are present. It rarely occurs after natural conception, but is more common with assisted reproductive techniques, when more than one embryo is transferred. Quadruplet heterotopic pregnancy is exceedingly rare. Methods: A literature review was conducted aiming to highlight the diagnosis difficulties and the management options in heterotopic quadruplet pregnancies. Results: Nine relevant studies were identified by researching PubMed up to 2021 for “heterotopic quadruplet pregnancy”, “quadruplet intrauterine and ectopic pregnancy”, “synchronous intrauterine and ectopic pregnancy”. Conclusions: In this paper, we present a case of heterotopic quadruplet pregnancy and address the difficulty in diagnosing this condition and make formal recommendations.

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