Spontaneous Heterotopic Pregnancy: Diagnosis and Management.

IF 0.6 Q4 OBSTETRICS & GYNECOLOGY

Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-26 eCollection Date: 2022-01-01 DOI:10.1155/2022/2994808

Katie P Nguyen, Marlekah Hudspeth, Honey Milestone

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Abstract

Background: Heterotopic pregnancies albeit rare are conceivably life-threatening if missed. With the development of assisted reproductive techniques, the incidence has increased. Confirmation of an intrauterine pregnancy (IUP) should not preclude the existence of a heterotopic pregnancy.

Case: A healthy 27-year-old patient (gravida 4, term 1, preterm 0, abortion 2, living 1) at approximately 5 weeks gestation through natural conception presented to the emergency room with acute abdominal pain and vaginal bleeding. Pelvic ultrasound showed evidence of an IUP and a right adnexal mass, raising suspicion for a heterotopic pregnancy. The patient underwent an uncomplicated laparoscopic right salpingectomy. An IUP was confirmed on ultrasound postoperatively. The patient had an early pregnancy loss at 8 weeks of gestation.

Conclusion: With a high index of suspicion from clinical presentation and pelvic imaging, heterotopic pregnancy, while rare, should not be ruled out.

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自发性异位妊娠:诊断与处理。

背景:异位妊娠虽然罕见，但如果错过则可能危及生命。随着辅助生殖技术的发展，发病率不断上升。确认宫内妊娠(IUP)不应排除异位妊娠的存在。病例:一名健康的27岁患者(妊娠4期，足月1期，早产0期，流产2期，存活1期)，自然受孕妊娠约5周，因急性腹痛和阴道出血就诊于急诊室。盆腔超声显示宫内节育器和右附件肿块，怀疑是异位妊娠。患者接受了简单的腹腔镜右输卵管切除术。术后超声确认宫内升压。患者在妊娠8周时发生早孕。结论:从临床表现和盆腔影像学上看，异位妊娠的怀疑指数高，虽然罕见，但不应排除。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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