Heterotopic tubal pregnancy with a naturally conceived live twin intrauterine pregnancy in a patient with systemic lupus erythematosus: A case report.
Assisted reproductive technology
Ectopic pregnancy
Heterotopic pregnancy
Intrauterine pregnancy
Journal
Case reports in women's health
ISSN: 2214-9112
Titre abrégé: Case Rep Womens Health
Pays: Netherlands
ID NLM: 101682122
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
23
06
2021
revised:
28
07
2021
accepted:
30
07
2021
entrez:
17
8
2021
pubmed:
18
8
2021
medline:
18
8
2021
Statut:
epublish
Résumé
Heterotopic pregnancy (HP) is defined as the simultaneous occurrence of an intrauterine and extrauterine gestation. Risk factors contributing to this condition are similar to those which contribute to ectopic pregnancy. While a triple heterotopic gestation through natural conception is uncommon, here we present the case of a patient with spontaneous intrauterine twins and a concurrent tubal extrauterine gestation, where the patient also had systemic lupus erythematosus. During the seventh week of gestation, the patient presented with acute abdomen signs and hemodynamic instability; a decision was taken to perform an emergency laparotomy. Haemoperitoneum, a total torsion of the right ovary with salpinx, a ruptured tubal pregnancy and subsequent necrosis were found intraoperatively. The patient was discharged on the sixth postoperative day and monitored throughout her whole pregnancy, with the intrauterine pregnancy progressing uneventfully. Two healthy neonates were delivered by cesarean section at 36 weeks of gestation. In conclusion, physicians treating women of reproductive age should be aware of possible HP, even in the absence of risk factors.
Identifiants
pubmed: 34401399
doi: 10.1016/j.crwh.2021.e00348
pii: S2214-9112(21)00066-7
pmc: PMC8353344
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e00348Informations de copyright
© 2021 The Authors. Published by Elsevier B.V.
Références
Obstet Gynecol. 1987 Mar;69(3 Pt 1):333-7
pubmed: 3822281
Hum Reprod. 1997 May;12(5):1100-2
pubmed: 9194674
Case Rep Obstet Gynecol. 2014;2014:356131
pubmed: 24527252
Am J Obstet Gynecol. 1983 Jun 1;146(3):323-30
pubmed: 6344638
Pediatr Rheumatol Online J. 2018 Apr 16;16(1):26
pubmed: 29661199
J Ultrasound Med. 2015 Mar;34(3):527-30
pubmed: 25715373
Am J Obstet Gynecol. 1997 Jun;176(6):1384-5
pubmed: 9215203
Obstet Gynecol. 2004 Jul;104(1):50-5
pubmed: 15229000
J Obstet Gynaecol. 2013 Feb;33(2):209-10
pubmed: 23445156
Fertil Steril. 2007 Feb;87(2):417.e9-15
pubmed: 17074353
Case Rep Obstet Gynecol. 2012;2012:509694
pubmed: 22997595
Fertil Steril. 1996 Jul;66(1):1-12
pubmed: 8752602
Int J Gynaecol Obstet. 2004 Sep;86(3):411-6
pubmed: 15325870
Hum Reprod. 1999 Mar;14(3):850-1
pubmed: 10221726
J Obstet Gynaecol. 2015;35(7):755-6
pubmed: 25526510
Hum Reprod. 1998 Jul;13(7):1999-2001
pubmed: 9740465
Arthritis Res Ther. 2007;9(6):R124
pubmed: 18042277
J Reprod Med. 1980 Nov;25(5):290-2
pubmed: 6450285
Ultrasound Obstet Gynecol. 2013 May;41(5):563-9
pubmed: 23610036
Hum Reprod. 2001 Oct;16(10):2227-9
pubmed: 11574520
Hum Reprod. 1997 May;12(5):1098-9
pubmed: 9194673