Spontaneous Heterotopic Pregnancy: Case Report and Literature Review

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.

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

F1000Research ◽

10.12688/f1000research.54139.1 ◽

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.

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Heterotopic pregnancy: a case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20171990 ◽

2017 ◽

Vol 6 (5) ◽

pp. 2121 ◽

Cited By ~ 1

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.

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

F1000Research ◽

10.12688/f1000research.54139.2 ◽

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

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A rare case of heterotopic pregnancy: case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20211550 ◽

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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Spontaneous Isolated Celiac Artery Dissection: A Case Report

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2020.5.46906 ◽

2020 ◽

Vol 4 (3) ◽

pp. 414-416

Author(s):

Clifford Freeman ◽

Aaron Lacy ◽

Aubrey Miner ◽

Devin Rogers ◽

Austin Smith ◽

...

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Case Report ◽

Celiac Artery ◽

Chief Complaint ◽

Diagnostic Tools ◽

Artery Dissection ◽

Emergency Physicians ◽

Threatening Condition ◽

Life Threatening

Introduction: Abdominal pain is a common chief complaint that can represent a wide breadth of diagnoses, ranging from benign to life-threatening. As our diagnostic tools become more sophisticated, we are able to better identify more causes of potentially life-threatening diseases. One such disease that is relatively unfamiliar to clinicians is spontaneous isolated celiac artery dissection (SICAD). Case Report: We describe a case of a 46-year-old man who presented to our emergency department with a chief complaint of abdominal pain and was found to have a SICAD and was successfully treated with anticoagulation, antihypertensives, and observation. Conclusion: It is important for emergency physicians to keep this potentially life-threatening condition in mind and to know the appropriate first steps once identified.

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

Case Reports in Endocrinology ◽

10.1155/2011/520516 ◽

2011 ◽

Vol 2011 ◽

pp. 1-6 ◽

Cited By ~ 4

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.

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Heterotopic pregnancy; case report

National Journal of Research in Ayurved Science ◽

10.52482/ayurlog.v7i05.425 ◽

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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Life–threatening Pulmonary Oedema Secondary to Tracheal Compression

Anaesthesia and Intensive Care ◽

10.1177/0310057x0203000615 ◽

2002 ◽

Vol 30 (6) ◽

pp. 804-806 ◽

Cited By ~ 5

Author(s):

H. Butterell ◽

R. H. Riley

Keyword(s):

Emergency Department ◽

Case Report ◽

Airway Obstruction ◽

Pulmonary Oedema ◽

Negative Pressure ◽

Upper Airway ◽

Tracheal Compression ◽

Negative Pressure Pulmonary Oedema ◽

Life Threatening ◽

Thyroid Goitre

We present a case of negative pressure pulmonary oedema due to an overlooked cause. A 45-year-old female patient presented to the emergency department unconscious with severe pulmonary oedema. Subsequent investigations revealed a thyroid goitre causing significant tracheal compression. This case report highlights an extremely rare but potentially dangerous sequela of upper airway obstruction.

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Flushing of an intravenous catheter

Biochemia Medica ◽

10.11613/bm.2019.031001 ◽

2019 ◽

Vol 29 (3) ◽

pp. 614-618

Author(s):

Rutger C.C. Hengeveld ◽

Bianca E. Olofsen ◽

Edmée C. van Dongen-Lases ◽

Peter A. Leenhouts ◽

Victor F.H.A. Hakkenberg van Gaasbeek ◽

...

Keyword(s):

Emergency Department ◽

Renal Function ◽

Case Report ◽

Sodium Chloride ◽

Continuous Infusion ◽

Intravenous Catheter ◽

Blood Samples ◽

Close Proximity ◽

Laboratory Results ◽

Life Threatening

Introduction: Phlebotomy is an error-prone process in which mistakes are difficult to reveal. This case report describes the effect on laboratory results originating from a blood sample collected in close proximity to an intravenous catheter. Materials and methods: A 69-year-old male patient was referred to the Emergency department where pneumonia was suspected. Phlebotomy was performed to collect blood samples to assess electrolytes, renal function, liver function, infection and haematological parameters. Results: The laboratory analysis showed reduced potassium and calcium concentrations. To prevent life-threatening cardiac failure the clinician decided to correct those electrolytes. Remarkably, the electrocardiogram showed no abnormalities corresponding to hypokalaemia and hypocalcaemia. This observation, in combination with an overall increase in laboratory parameters with the exception of sodium and chloride, led to the suspicion of a preanalytical error. Retrospectively, an intravenous catheter was inserted in close proximity of the puncture place but no continuous infusion was started prior to phlebotomy. However, the intravenous catheter was flushed with sodium chloride. Since potential other causes were excluded, the flushing of the intravenous catheter with sodium chloride prior to phlebotomy was the most probable cause for the deviating laboratory results and subsequently for the unnecessary potassium and calcium suppletion. Conclusion: This case underlines the importance of caution in the interpretation of laboratory results obtained from specimens that are collected in the proximity of an intravenous catheter, even in the absence of continuous infusion.

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Brain abscess due to Aggregatibacter aphrophilus and Bacteroides uniformis

Acta Medica Academica ◽

10.5644/ama2006-124.144 ◽

2015 ◽

Vol 44 (2) ◽

pp. 181

Author(s):

Maja Bogdan ◽

Vlasta Zujić Atalić ◽

Ivan Hećimović ◽

Dubravka Vuković

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Surgical Treatment ◽

Brain Abscess ◽

Neurological Deficit ◽

Resonance Imaging ◽

Aggregatibacter Aphrophilus ◽

Threatening Condition ◽

Life Threatening ◽

The Brain

Objective. The aim of this report was to describe the occurrence of a bacterial brain abscess in a healthy individual, without any predisposing condition. Case report. A thirteen-year old boy was admitted to the Department of Neurosurgery after the onset of vomiting, headache and dizziness. A neurological deficit was detected during the physical examination so urgent magnetic resonance imaging of the brain was performed, revealing an intrahemispheric, right positioned solitary expansive mass with ring enhancement. Purulent material was obtained during osteoplastic craniotomy with total extirpation of the brain abscess. Aggregatibacter aphrophilus and Bacteroides uniformis were isolated. The patient’s general condition improved and the neurological deficit subsided as a result of the prompt recognition and treatment of this life threatening condition. Conclusion. To achieve a favourable clinical outcome, prompt recognition and surgical treatment of a brain abscess are of primary importance,followed by administration of appropriate antimicrobial therapy. To our best knowledge, this is the first report of this combination of microorganisms as the cause of a brain abscess.

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