Vaginal Delivery at Term in a Woman with a Spontaneous Heterotopic Pregnancy Treated with Laparoscopic Salpingectomy
Joint Authors
Diakosavvas, Michail
Blontzos, Nikolaos
Daskalakis, Georgios
Protopapas, Athanasios
Kathopoulis, Nikolaos
Antsaklis, Panagiotis
Derdelis, Grigorios
Angelou, Kyveli
Fasoulakis, Zacharias
Loutradis, Dimitrios
Theodora, Marianna
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-02
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
The coexistence of an intrauterine pregnancy and an ectopic pregnancy (heterotopic pregnancy) is an extremely rare, yet major, complication during pregnancy.
The early diagnosis of a heterotopic pregnancy is of great importance for fetal viability, maternal safety, and the progression of an uncomplicated intrauterine pregnancy.
Case Presentation.
We report a case of a naturally conceived heterotopic tubal pregnancy in a 37-year-old primigravida.
The patient presented with continuous, dull, lower abdominal pain and a positive urine pregnancy test which was conducted a week prior to the start of the pain.
The patient was hospitalized, and based on the clinical image and after strict monitoring, she was diagnosed with a heterotopic pregnancy.
She was treated with laparoscopic salpingectomy after the rupture of the ectopic pregnancy while the desired intrauterine gestation continued without any complications.
The pregnancy resulted in the birth of a healthy infant through vaginal delivery.
Discussion.
Strict monitoring with multiple sonographic evaluations should always be conducted in women with abnormal serum beta-hCG, adnexal abnormalities, or clinical symptoms, while heterotopic pregnancy should be in differential diagnosis and treatment should not be delayed since emerge management is important for the progression of the intrauterine pregnancy.
American Psychological Association (APA)
Diakosavvas, Michail& Blontzos, Nikolaos& Daskalakis, Georgios& Protopapas, Athanasios& Kathopoulis, Nikolaos& Antsaklis, Panagiotis…[et al.]. 2020. Vaginal Delivery at Term in a Woman with a Spontaneous Heterotopic Pregnancy Treated with Laparoscopic Salpingectomy. Case Reports in Obstetrics and Gynecology،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1149262
Modern Language Association (MLA)
Diakosavvas, Michail…[et al.]. Vaginal Delivery at Term in a Woman with a Spontaneous Heterotopic Pregnancy Treated with Laparoscopic Salpingectomy. Case Reports in Obstetrics and Gynecology No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1149262
American Medical Association (AMA)
Diakosavvas, Michail& Blontzos, Nikolaos& Daskalakis, Georgios& Protopapas, Athanasios& Kathopoulis, Nikolaos& Antsaklis, Panagiotis…[et al.]. Vaginal Delivery at Term in a Woman with a Spontaneous Heterotopic Pregnancy Treated with Laparoscopic Salpingectomy. Case Reports in Obstetrics and Gynecology. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1149262
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149262