Evidence map›Paper›PMID 34430013›Full record

ArticleClinical case reports2021

Heterotopic pregnancy after a spontaneous conception a case report with a review of clinical, laboratory and imaging findings.

Ahmed H Abdelmonem, Gamal Sayed, Abd Elwahid Abugazia, Samah Kohla, Reda Youssef

Abstract readCase Reports
In one paragraph

Article in Clinical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

5 authors.

Ahmed H AbdelmonemDepartment of Radiology Hamad General Hospital Doha Qatar.
Gamal SayedWeill Cornell Medicine Qatar Doha Qatar.
Abd Elwahid AbugaziaDepartment of Radiology PHCC Doha Qatar.
Samah KohlaWeill Cornell Medicine Qatar Doha Qatar.ORCID https://orcid.org/0000-0002-1050-9922
Reda YoussefWeill Cornell Medicine Qatar Doha Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heterotopic pregnancy (HP) describes the simultaneous presence of two pregnancies at different implantation sites. Usually, one pregnancy is intrauterine and the other one is ectopic. The incidence of HP after assisted reproductive technologies reaches 1:3900, but is very rare after a spontaneous pregnancy, with a reported incidence of 1 to 30,000 pregnancies. Due to its rarity, complex clinical picture, and laboratory findings, it is challenging to diagnose HP. We present a case of spontaneous HP diagnosed in the first trimester by ultrasound (US) and magnetic resonance imaging (MRI) and subsequently managed successfully. We present an analysis of the clinical and laboratory findings as well as imaging, including MRI that we used to diagnose the condition. Additionally, we performed a literature review.

conclusionsHP is a very rare condition frequently faced in obstetrics, gynecology, and emergency departments that requires a high index of clinical suspicion. US remains the imaging modality of choice in diagnosing a HP, however, in some cases, an MRI with a reported safety in the first trimester, can be used to provide additional information over US.

Indexed as

ectopic tubal pregnancyheterotopic pregnancyheterotrophic pregnancypelvic MRItransvaginal Ultrasound

Identifiers

PMID34430013
PMCPMC8365543

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Registered trials

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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.