Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature
Introduction. Heterotopic pregnancy is a rare complication usually seen in populations at risk for ectopic pregnancy or those undergoing fertility treatments. It is a potentially dangerous condition occurring in only 1 in 30,000 spontaneous pregnancies. With the advent of Assisted Reproduction Techn...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2016/2145937 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832552020161069056 |
|---|---|
| author | Annika Chadee Shadi Rezai Catherine Kirby Ekaterina Chadwick Sri Gottimukkala Abraham Hamaoui Vasiliy Stankovich Theodore Hale Hamid Gilak Mohammad Momtaz Harvey Sasken Cassandra E. Henderson |
| author_facet | Annika Chadee Shadi Rezai Catherine Kirby Ekaterina Chadwick Sri Gottimukkala Abraham Hamaoui Vasiliy Stankovich Theodore Hale Hamid Gilak Mohammad Momtaz Harvey Sasken Cassandra E. Henderson |
| author_sort | Annika Chadee |
| collection | DOAJ |
| description | Introduction. Heterotopic pregnancy is a rare complication usually seen in populations at risk for ectopic pregnancy or those undergoing fertility treatments. It is a potentially dangerous condition occurring in only 1 in 30,000 spontaneous pregnancies. With the advent of Assisted Reproduction Techniques (ART) and ovulation induction, the overall incidence of heterotopic pregnancy has risen to approximately 1 in 3,900 pregnancies. Other risk factors include a history of pelvic inflammatory disease (PID), tubal damage, pelvic surgery, uterine Mullerian abnormalities, and prior tubal surgery. Heterotopic pregnancy is a potentially fatal condition, rarely occurring in natural conception cycles. Most commonly, heterotopic pregnancy is diagnosed at the time of rupture when surgical management is required. Case. This paper represents two cases of heterotopic pregnancies as well as a literature review. Conclusion. Heterotopic pregnancy should be suspected in patients with an adnexal mass, even in the absence of risk factors. Clinicians must be alert to the fact that confirming an intrauterine pregnancy clinically or by ultrasound does not exclude the coexistence of an ectopic pregnancy. A high index of suspicion in women is needed for early and timely diagnosis, and management with laparotomy or laparoscopy can result in a favorable and successful obstetrical outcome. |
| format | Article |
| id | doaj-art-7806b7a4f5274e9cb46ffe4762b11282 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-7806b7a4f5274e9cb46ffe4762b112822025-02-03T05:59:49ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922016-01-01201610.1155/2016/21459372145937Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of LiteratureAnnika Chadee0Shadi Rezai1Catherine Kirby2Ekaterina Chadwick3Sri Gottimukkala4Abraham Hamaoui5Vasiliy Stankovich6Theodore Hale7Hamid Gilak8Mohammad Momtaz9Harvey Sasken10Cassandra E. Henderson11Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USAWest Virginia School of Osteopathic Medicine (WVSOM), Lewisburg, WV 24901, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Pathology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USAIntroduction. Heterotopic pregnancy is a rare complication usually seen in populations at risk for ectopic pregnancy or those undergoing fertility treatments. It is a potentially dangerous condition occurring in only 1 in 30,000 spontaneous pregnancies. With the advent of Assisted Reproduction Techniques (ART) and ovulation induction, the overall incidence of heterotopic pregnancy has risen to approximately 1 in 3,900 pregnancies. Other risk factors include a history of pelvic inflammatory disease (PID), tubal damage, pelvic surgery, uterine Mullerian abnormalities, and prior tubal surgery. Heterotopic pregnancy is a potentially fatal condition, rarely occurring in natural conception cycles. Most commonly, heterotopic pregnancy is diagnosed at the time of rupture when surgical management is required. Case. This paper represents two cases of heterotopic pregnancies as well as a literature review. Conclusion. Heterotopic pregnancy should be suspected in patients with an adnexal mass, even in the absence of risk factors. Clinicians must be alert to the fact that confirming an intrauterine pregnancy clinically or by ultrasound does not exclude the coexistence of an ectopic pregnancy. A high index of suspicion in women is needed for early and timely diagnosis, and management with laparotomy or laparoscopy can result in a favorable and successful obstetrical outcome.http://dx.doi.org/10.1155/2016/2145937 |
| spellingShingle | Annika Chadee Shadi Rezai Catherine Kirby Ekaterina Chadwick Sri Gottimukkala Abraham Hamaoui Vasiliy Stankovich Theodore Hale Hamid Gilak Mohammad Momtaz Harvey Sasken Cassandra E. Henderson Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature Case Reports in Obstetrics and Gynecology |
| title | Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature |
| title_full | Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature |
| title_fullStr | Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature |
| title_full_unstemmed | Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature |
| title_short | Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature |
| title_sort | spontaneous heterotopic pregnancy dual case report and review of literature |
| url | http://dx.doi.org/10.1155/2016/2145937 |
| work_keys_str_mv | AT annikachadee spontaneousheterotopicpregnancydualcasereportandreviewofliterature AT shadirezai spontaneousheterotopicpregnancydualcasereportandreviewofliterature AT catherinekirby spontaneousheterotopicpregnancydualcasereportandreviewofliterature AT ekaterinachadwick spontaneousheterotopicpregnancydualcasereportandreviewofliterature AT srigottimukkala spontaneousheterotopicpregnancydualcasereportandreviewofliterature AT abrahamhamaoui spontaneousheterotopicpregnancydualcasereportandreviewofliterature AT vasiliystankovich spontaneousheterotopicpregnancydualcasereportandreviewofliterature AT theodorehale spontaneousheterotopicpregnancydualcasereportandreviewofliterature AT hamidgilak spontaneousheterotopicpregnancydualcasereportandreviewofliterature AT mohammadmomtaz spontaneousheterotopicpregnancydualcasereportandreviewofliterature AT harveysasken spontaneousheterotopicpregnancydualcasereportandreviewofliterature AT cassandraehenderson spontaneousheterotopicpregnancydualcasereportandreviewofliterature |