Uncomplicated full-term birth after laparoscopical salpingotomy as organ-preserving therapy of naturally conceived heterotopic pregnancy: A case report
Heterotopic pregnancy, the simultaneous occurrence of intrauterine and extrauterine gestations, is a rare phenomenon, especially without a history of assisted reproduction. This case report describes a 33-year-old woman presenting with severe abdominal pain at 7 weeks of pregnancy. Transvaginal ultr...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2025-03-01
|
| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X251325121 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850052654946844672 |
|---|---|
| author | Roland Csorba Antonella Iannaccone Panagiotis Tsikouras Saed Almasarweh |
| author_facet | Roland Csorba Antonella Iannaccone Panagiotis Tsikouras Saed Almasarweh |
| author_sort | Roland Csorba |
| collection | DOAJ |
| description | Heterotopic pregnancy, the simultaneous occurrence of intrauterine and extrauterine gestations, is a rare phenomenon, especially without a history of assisted reproduction. This case report describes a 33-year-old woman presenting with severe abdominal pain at 7 weeks of pregnancy. Transvaginal ultrasound revealed an intrauterine singleton pregnancy and an adnexal mass, highly suspicious of an ectopic pregnancy, along with significant intraperitoneal fluid. Emergency laparoscopy confirmed intra-abdominal hemorrhage and a near rupture of the left fallopian tube. A laparoscopic salpingotomy successfully resolved the ectopic pregnancy while preserving the intrauterine pregnancy. Postoperative course was uneventful. The patient later delivered a healthy infant at term. This case highlights the importance of considering heterotopic pregnancy in patients with confirmed intrauterine pregnancy, even in the absence of assisted reproductive technologies and other risk factors. |
| format | Article |
| id | doaj-art-41ea594e55f541b59daa57e02bcecf0c |
| institution | DOAJ |
| issn | 2050-313X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj-art-41ea594e55f541b59daa57e02bcecf0c2025-08-20T02:52:45ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-03-011310.1177/2050313X251325121Uncomplicated full-term birth after laparoscopical salpingotomy as organ-preserving therapy of naturally conceived heterotopic pregnancy: A case reportRoland Csorba0Antonella Iannaccone1Panagiotis Tsikouras2Saed Almasarweh3Department of Obstetrics and Gynecology, University Clinic, University of Duisburg-Essen, Essen, GermanyDepartment of Obstetrics and Gynecology, University Clinic, University of Duisburg-Essen, Essen, GermanyDepartment of Obstetrics and Gynecology, Democritus University of Thrace, Komotini, GreeceDepartment of Obstetrics and Gynecology, University Clinic, University of Duisburg-Essen, Essen, GermanyHeterotopic pregnancy, the simultaneous occurrence of intrauterine and extrauterine gestations, is a rare phenomenon, especially without a history of assisted reproduction. This case report describes a 33-year-old woman presenting with severe abdominal pain at 7 weeks of pregnancy. Transvaginal ultrasound revealed an intrauterine singleton pregnancy and an adnexal mass, highly suspicious of an ectopic pregnancy, along with significant intraperitoneal fluid. Emergency laparoscopy confirmed intra-abdominal hemorrhage and a near rupture of the left fallopian tube. A laparoscopic salpingotomy successfully resolved the ectopic pregnancy while preserving the intrauterine pregnancy. Postoperative course was uneventful. The patient later delivered a healthy infant at term. This case highlights the importance of considering heterotopic pregnancy in patients with confirmed intrauterine pregnancy, even in the absence of assisted reproductive technologies and other risk factors.https://doi.org/10.1177/2050313X251325121 |
| spellingShingle | Roland Csorba Antonella Iannaccone Panagiotis Tsikouras Saed Almasarweh Uncomplicated full-term birth after laparoscopical salpingotomy as organ-preserving therapy of naturally conceived heterotopic pregnancy: A case report SAGE Open Medical Case Reports |
| title | Uncomplicated full-term birth after laparoscopical salpingotomy as organ-preserving therapy of naturally conceived heterotopic pregnancy: A case report |
| title_full | Uncomplicated full-term birth after laparoscopical salpingotomy as organ-preserving therapy of naturally conceived heterotopic pregnancy: A case report |
| title_fullStr | Uncomplicated full-term birth after laparoscopical salpingotomy as organ-preserving therapy of naturally conceived heterotopic pregnancy: A case report |
| title_full_unstemmed | Uncomplicated full-term birth after laparoscopical salpingotomy as organ-preserving therapy of naturally conceived heterotopic pregnancy: A case report |
| title_short | Uncomplicated full-term birth after laparoscopical salpingotomy as organ-preserving therapy of naturally conceived heterotopic pregnancy: A case report |
| title_sort | uncomplicated full term birth after laparoscopical salpingotomy as organ preserving therapy of naturally conceived heterotopic pregnancy a case report |
| url | https://doi.org/10.1177/2050313X251325121 |
| work_keys_str_mv | AT rolandcsorba uncomplicatedfulltermbirthafterlaparoscopicalsalpingotomyasorganpreservingtherapyofnaturallyconceivedheterotopicpregnancyacasereport AT antonellaiannaccone uncomplicatedfulltermbirthafterlaparoscopicalsalpingotomyasorganpreservingtherapyofnaturallyconceivedheterotopicpregnancyacasereport AT panagiotistsikouras uncomplicatedfulltermbirthafterlaparoscopicalsalpingotomyasorganpreservingtherapyofnaturallyconceivedheterotopicpregnancyacasereport AT saedalmasarweh uncomplicatedfulltermbirthafterlaparoscopicalsalpingotomyasorganpreservingtherapyofnaturallyconceivedheterotopicpregnancyacasereport |