Evidence map›Paper›PMID 34401399›Full record

ArticleCase reports in women's health2021

Heterotopic tubal pregnancy with a naturally conceived live twin intrauterine pregnancy in a patient with systemic lupus erythematosus: A case report.

Thomas Ntounis, Zacharias Fasoulakis, Antonios Koutras, Michail Diakosavvas, Arzou Bourazan, Athanasios Pagkalos, Athina A Samara, Emmanuel N Kontomanolis

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Thomas NtounisObstetrics and Gynecology, 1st Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, General Hospital of Athens 'ALEXANDRA', Lourou and Vasilissis Sofias Ave, 11528 Athens, Greece.
Zacharias FasoulakisObstetrics and Gynecology, 1st Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, General Hospital of Athens 'ALEXANDRA', Lourou and Vasilissis Sofias Ave, 11528 Athens, Greece.
Antonios KoutrasObstetrics and Gynecology, 1st Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, General Hospital of Athens 'ALEXANDRA', Lourou and Vasilissis Sofias Ave, 11528 Athens, Greece.
Michail DiakosavvasObstetrics and Gynecology, 1st Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, General Hospital of Athens 'ALEXANDRA', Lourou and Vasilissis Sofias Ave, 11528 Athens, Greece.
Arzou BourazanDepartment of Obstetrics and Gynecology, General Hospital of Xanthi, Neapoli 67100, Xanthi, Greece.
Athanasios PagkalosDepartment of Obstetrics and Gynecology, General Hospital of Xanthi, Neapoli 67100, Xanthi, Greece.
Athina A SamaraDepartment of Embryology, Faculty of Medicine, University of Thessaly, Greece, Mezourlo Hill 41100, Larissa, Greece.
Emmanuel N KontomanolisDepartment of Obstetrics and Gynecology, Democritus University of Thrace, 6 klm Alexandroupolis-Makris, Dragana 68100, Alexandroupolis, Greece.
Alexandra Hospital · GRGeneral Hospital of Attica · GRUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Assisted reproductive technologyEctopic pregnancyHeterotopic pregnancyIntrauterine pregnancy

Identifiers

PMID34401399
PMCPMC8353344
OpenAlexW3192738824

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.