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

2014 ◽  
Vol 7 (2) ◽  
pp. 40-42 ◽  
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

Heterotopic pregnancy following ovulation induction by clomiphene citrate and timed intercourse: a case report

2006 ◽  
Vol 274 (3) ◽  
pp. 181-183 ◽  
Author(s):  
M. Murat Naki ◽  
Cevahir Tekcan ◽  
Arzu Uysal ◽  
Kadir Güzin ◽  
Neşe Yücel
Keyword(s):  
Case Report ◽  
Ovulation Induction ◽  
Clomiphene Citrate ◽  
Heterotopic Pregnancy

scholarly journals Heterotopic Pregnancy in Natural Conception – A Case Report

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.

scholarly journals Positive Outcome of Heterotopic Pregnancy Following Ovulation Induction: A Rare Case Report

2009 ◽  
Vol 22 (2) ◽  
pp. 287-288
Author(s):  
S Jesmin ◽  
N Akhte ◽  
N Naha ◽  
N Shamima
Keyword(s):  
Ovulation Induction ◽  
Clomiphene Citrate ◽  
Rare Event ◽  
Positive Outcome ◽  
Tubal Pregnancy ◽  
Heterotopic Pregnancy ◽  
Singleton Pregnancy ◽  
Rare Case Report ◽  
Threatening Condition ◽  
Life Threatening

We report a combined intra-uterine and ruptured tubal pregnancy following ovulation induction by clomiphene citrate (cc) and timed intercourse. The diagnosis of heterotopic pregnancy (HP) is the major problem until occurrence of tubal rupture. Because HP is a life threatening condition, the diagnosis should be made as soon as possible. In a spontaneous conception HP is a rare event. The risk of HP significantly increases after ovulation induction. Clomiphene itself should be associated with a high HP rare. We present a case with normally developing intra uterine singleton pregnancy successfully with synchronous tubal pregnancy following ovulation induction by cc.TAJ 2009; 22(1): 287-288

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

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Desmond Aroke ◽  
Larry Tangie Ngek ◽  
Maxime Tindong ◽  
Esua Fomanka ◽  
Colette Achu ◽  
...  
Keyword(s):  
Case Report ◽  
Tubal Pregnancy ◽  
Heterotopic Pregnancy ◽  
Rare Form ◽  
Blighted Ovum

scholarly journals A case report of heterotopic pregnancy

2021 ◽  
Vol 11 (1) ◽  
pp. 269
Author(s):  
Keerathana R. ◽  
Sundar Narayanan S.
Keyword(s):  
Case Report ◽  
Adnexal Mass ◽  
Heterotopic Pregnancy ◽  
Laboratory Findings ◽  
Healthy Baby ◽  
Beta Hcg ◽  
Gestational Sac ◽  
High Index Of Suspicion ◽  
Period Of Gestation ◽  
Natural Cycles

Heterotopic pregnancy is the presence of both intrauterine and extrauterine (ectopic) implantation as described by Reece in 1983 and is extremely rare. It accounts for 1 per 30000, in natural cycles and 9 per 10000, in assisted reproduction cycles. The aim of this report is to introduce this case as it poses a challenge to diagnosis due to its complex clinical and laboratory findings. A primigravida aged 30 at 6 weeks period of gestation, reported with minimal bleeding per vaginum. On performing a physical examination her vitals were stable and no significant findings were noted except for an enlarged uterus corresponding to 6 weeks with posterior forniceal fullness. Her beta-hCG was 23765 IU/ml and ultrasound showed a live intrauterine gestation with left adnexal mass- likely ectopic gestational sac. Laparoscopy showed a left tubal pregnancy and salpingectomy was done. The postoperative period was uneventful and she was discharged with a single live intrauterine gestation of 6-7 weeks. She carried on with her pregnancy and delivered a healthy baby at term. The diagnosis is possible only in cases when there is a high index of suspicion by the treating clinician. The adnexa must be inspected carefully in the confirmatory ultrasound. The early timely diagnosis gives a good maternal outcome and hence crucial in the management.

scholarly journals Heterotopic Pregnancy: A Clinical Case Report

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)

scholarly journals Successful Advanced Maternal Age Pregnancy with Mosaic Turner Syndrome Conceived after Ovulation Induction with Clomiphene Citrate: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Masahiro Murakami ◽  
Kenji Hinokio ◽  
Machiko Kiyokawa ◽  
Mikio Morine ◽  
Takeshi Iwasa
Keyword(s):  
Case Report ◽  
Turner Syndrome ◽  
Ovulation Induction ◽  
Maternal Age ◽  
Clomiphene Citrate ◽  
Advanced Maternal Age ◽  
Successful Outcome ◽  
Gonadal Dysfunction

Turner women typically experience gonadal dysfunction that results in amenorrhea and sterility. We encountered a case of mosaic Turner syndrome where conception was possible after ovulation induction with clomiphene citrate (CC). The patient’s ovaries were overresponsive to induction with CC. The challenges and successful outcome are reported.

Ovarian Heterotopic Pregnancy after Ovulation Induction with Clomiphene Citrate

2011 ◽  
Vol 01 (01) ◽  
Author(s):  
Lena El Hachem ◽  
Daniel E. Stein ◽  
Martin D. Keltz M ◽  
Matthew A. Lederman
Keyword(s):  
Ovulation Induction ◽  
Clomiphene Citrate ◽  
Heterotopic Pregnancy
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