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 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; 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.

scholarly journals Spontaneous heterotopic pregnancy with tubal rupture

2017 ◽  
Vol 6 (11) ◽  
pp. 5148 ◽  
Author(s):  
Spandana J. C. ◽  
Suresh S. Kanakannavar ◽  
Umashankar K. M. ◽  
Manuja N.
Keyword(s):  
Maternal Morbidity ◽  
Surgical Intervention ◽  
Heterotopic Pregnancy ◽  
Successful Outcome ◽  
Intrauterine Pregnancy ◽  
Pregnant Females ◽  
Maternal Morbidity And Mortality ◽  
Threatening Condition ◽  
Life Threatening ◽  
Ultrasound Assessment

Heterotopic pregnancy is the coexistence of intrauterine pregnancy (IUP) and extrauterine gestation. It is a rare and dangerous life-threatening condition that is difficult to diagnose and easily missed. The incidence in the general population is estimated to be 1 in 30,000. We report a case of a 24-year-old multigravida who was seen in the emergency department with a diagnosis of a ruptured ectopic pregnancy. A careful ultrasound assessment led to the diagnosis of a heterotopic pregnancy despite lack of any notable risk factors. Immediate surgical intervention with supportive measures resulted in a successful outcome. An obstetrician should keep in mind the occurrence of a heterotopic pregnancy while dealing with pregnant females. It also demonstrates that early diagnosis is essential in order to salvage the intrauterine pregnancy and avoid maternal morbidity and mortality.

scholarly journals Spontaneous Heterotopic Pregnancy: Case Report and Literature Review

Medicina ◽  
2020 ◽  
Vol 56 (8) ◽  
pp. 365 ◽  
Author(s):  
Miglė Černiauskaitė ◽  
Brigita Vaigauskaitė ◽  
Diana Ramašauskaitė ◽  
Mindaugas Šilkūnas
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Laboratory Tests ◽  
Heterotopic Pregnancy ◽  
Fallopian Tubes ◽  
Lower Abdomen ◽  
Healthy Baby ◽  
Extrauterine Pregnancy ◽  
Threatening Condition ◽  
Life Threatening

Heterotopic pregnancy is defined as a condition when intrauterine and extrauterine pregnancy occur simultaneously. It is a life-threatening condition that requires immediate and accurate diagnostics and treatment. We present a case of a 28-year-old primigravida female who conceived spontaneously and at her seventh week of gestation and was presented to the emergency department with weakness and acute pain in lower abdomen. Laboratory tests and transvaginal ultrasonography revealed the diagnosis of heterotopic pregnancy. Urgent laparoscopic salpingotomy was chosen as a treatment option. The ectopic pregnancy was successfully removed with the preservation of the intrauterine embryo and fallopian tubes. The course of pregnancy after the surgery was without complications, and a healthy baby was delivered at the 39th week of gestation. When treated properly and on time, a heterotopic pregnancy can result in live childbirth with favorable outcomes for both the child and the mother.

scholarly journals Massive intra-abdominal Haemorrhage in a Pregnant Patient with Cirrhosis of Liver - A Case Report

2016 ◽  
Vol 28 (2) ◽  
pp. 100-102
Author(s):  
Monowara Begum ◽  
Housneara Begum
Keyword(s):  
Pregnancy Outcomes ◽  
Post Partum ◽  
Rare Event ◽  
Pregnant Patient ◽  
Successful Pregnancy ◽  
Advanced Cirrhosis ◽  
High Incidence ◽  
Threatening Condition ◽  
Life Threatening ◽  
Cirrhosis Of Liver

Pregnancy is a rare event in patients with cirrhosis. Recent improvements in the treatment of chronic liver disease have resulted in higher conception rates and more successful pregnancy outcomes. Still pregnancy in cirrhosis is associated with high incidence of foetal loss as well as higher maternal mortality both during pregnancy and in the post-partum period. In this paper we described a case of a successful pregnancy in a young woman with advanced cirrhosis facing life threatening condition in her last trimester and perioperative period.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(2) : 100-102

scholarly journals Heterotopic pregnancy: a case report

2017 ◽  
Vol 6 (5) ◽  
pp. 2121 ◽  
Author(s):  
Amit Gupta ◽  
Aanchal Gupta ◽  
Bharti Gupta ◽  
Neelam Mahajan ◽  
Anju Vij ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Heterotopic Pregnancy ◽  
Assisted Reproductive Technique ◽  
Threatening Condition ◽  
Life Threatening ◽  
Reproductive Technique

Heterotopic pregnancy is defined as the coexistence of intrauterine and extrauterine gestation. The incidence is low and estimated to be 1 in 30,000 of spontaneous pregnancies though it is becoming commoner with assisted reproductive technique. It can be a life-threatening condition and can be easily missed with the diagnosis being overlooked. We present a rare case of spontaneous heterotopic pregnancy with live intrauterine gestation and ruptured left adnexal gestation.

scholarly journals A rare case of unruptured tubal pregnancy at ten weeks of gestation

2014 ◽  
Vol 2 (3) ◽  
pp. 148-151
Author(s):  
Shreyashi Aryal ◽  
Meena Thapa ◽  
Chanda Karki
Keyword(s):  
Average Duration ◽  
Case Reports ◽  
Tubal Pregnancy ◽  
Crown Rump Length ◽  
Medical College ◽  
Foot Length ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of ◽  
Gestational Sac

Ectopic pregnancy is a life threatening condition and can present itself in diverse ways. This case reports a 23 years primigravida, admitted with history of amenorrhoea of ten weeks and right sided unruptured tubal pregnancy diagnosed on routine ultrasonography. On laparoscopy, there was an unruptured tubal pregnancy with gestational sac measuring around 6 × 5 cm. The foetus had crown rump length of 32 mm and foot length of 5 mm; both of which correspond probably to 10 to 11 weeks size. Segmental resection of the affected part of the fallopian tube was done laparoscopically. Rarely tubal pregnancy can remain asymptomatic and unruptured for longer duration of gestation than the usual scenario. The reported average duration of diagnosis of unruptured tubal pregnancy is of nine weeks and this case explores the possibility of removing an intact foetus at longer gestational age through laparoscopy.Journal of Kathmandu Medical College Vol. 2, No. 3, Issue 5, Jul.-Sep., 2013 Page: 148-151DOI: http://dx.doi.org/10.3126/jkmc.v2i3.9966Uploaded date : 3/4/2014

scholarly journals Rapid Successful Management of Diffuse Alveolar Hemorrhage as the Primary Presentation of Chlorine Gas Inhalation: A Rare Case Report

2021 ◽  
Author(s):  
Mohsen Yaghubi ◽  
Morteza Valaei ◽  
Reza Ghasemi ◽  
Mahmood Hosseinzadeh Maleki ◽  
Sara Rezaei ◽  
...  
Keyword(s):  
Distress Syndrome ◽  
Limited Data ◽  
Nasal Irritation ◽  
Chlorine Gas ◽  
Rare Case Report ◽  
Threatening Condition ◽  
Life Threatening ◽  
Gas Inhalation ◽  
Short Time ◽  
Primary Presentation

Chlorine-containing bleach, as a common disinfectant, can cause mild to severe symptoms from nasal irritation to life-threatening conditions such as acute respiratory distress syndrome (ARDS). However, the toxicity level of chlorine gas depends on the duration and concentration of exposure. Herein, we describe the case of a 44-year-old man admitted to the emergency department with a chief complaint of severe shortness of breathing and hemoptysis following accidental, short-time exposure to chlorine-containing bleach. Because of the life-threatening condition, he was transferred to the Intensive Care Unit (ICU) and received mechanical ventilation along with a corticosteroid agent and antibiotic therapy. Despite limited data on management of the severe complications of the exposure, the patient successfully recovered after four days.

scholarly journals A rare case of heterotopic pregnancy: case report

2021 ◽  
Vol 10 (5) ◽  
pp. 2101
Author(s):  
Nisi Patel ◽  
Komal Patel ◽  
Bipin R. Shah
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Cardiac Activity ◽  
Heterotopic Pregnancy ◽  
Assisted Reproductive Technique ◽  
Threatening Condition ◽  
Life Threatening ◽  
Reproductive Technique

Heterotopic pregnancy is defined as the coexistence of intrauterine and extrauterine gestation. The incidence is low and estimated to be 1 in 30,000 of spontaneous pregnancies though it is becoming commoner with assisted reproductive technique. It can be a life-threatening condition and can be easily missed with the diagnosis being overlooked. We present a rare case of spontaneous heterotopic pregnancy with intrauterine gestation without cardiac activity and unruptured tubal ectopic.

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