ArticleCase reports in women's health2019
Live birth after treatment of a spontaneous ovarian heterotopic pregnancy: A case report.
Article in Case reports in women's health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Spontaneous Heterotopic Pregnancy with Unaffected Intrauterine Pregnancy: Systematic Review of Clinical Outcomes.Medicina (Kaunas, Lithuania) · 2020Pooled it
- Navigating Diagnostic Challenges: Heterotopic Pregnancy Versus Hyperdecidual Reaction in Ectopic Gestation.Cureus · 2024Article
- Successful Ultrasound-Guided Methotrexate Intervention in the Treatment of Heterotopic Interstitial Pregnancy: A Case Report and Literature Review.Journal of personalized medicine · 2023Article
- Ovarian Pregnancy: 2 Case Reports and a Systematic Review.Journal of clinical medicine · 2023Article
- Spontaneous ovarian and intrauterine non-viable heterotopic pregnancy at 12 weeks of gestation: A case report.Case reports in women's health · 2022Article
- First trimester heterotopic pregnancy with shock treated laparoscopically, followed by uneventful term pregnancy and normal birth.Fukushima journal of medical science · 2021Article
- Early diagnosis of spontaneous heterotopic pregnancy successfully treated with laparoscopic surgery.BMJ case reports · 2020Article
- Rare heterotopic pregnancy after frozen embryo transfer: a case report and literature review.BMC pregnancy and childbirth · 2020Review
- A Case of Heterotopic Ovarian Pregnancy afterGynecology and minimally invasive therapyArticle
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Spontaneous heterotopic pregnancies occur in about 1/30000 pregnancies, with the ovarian subtype comprising 2.3% of the total. We report the case of a healthy 32-year-old woman, gravida 4, para 3, who presented to the emergency room with severe abdominal pain. Two weeks earlier, pelvic ultrasound had revealed a 6-week intrauterine pregnancy. She was hemodynamically stable, but had rebound tenderness on the right iliac fossa. Transvaginal ultrasound revealed an evolutive intrauterine pregnancy with a gestational age (GA) of 8 weeks, with a synchronous evolutive adnexal pregnancy of the same GA and some free fluid in the pouch of Douglas. She underwent an urgent laparoscopy which showed an intact gestational sac containing an embryo on the right ovary associated with mild hemoperitoneum. An ovarian wedge resection was performed to preserve ovarian tissue. The intrauterine pregnancy had no complications and the patient delivered vaginally at term. Heterotopic pregnancy is potentially life-threatening. Despite being extremely rare after natural conception, and even more so in the absence of major risk factors, it should be considered in any pregnant woman with abdominal pain. A high index of suspicion is important for a prompt diagnosis, selection of the appropriate surgical treatment and successful obstetric outcomes.
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