Evidence map›Paper›PMID 42181499›Full record

ArticleCureus2026

Double Heterotopic Pregnancy: Challenges in Diagnosis and Management.

Elie Hobeika, Dalia Malaeb, Dina Chamsy, Labib Ghulmiyyah, Nabil El Khoury, Anwar Nassar

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Elie HobeikaObstetrics and Gynecology, American University of Beirut Medical Center, Beirut, LBN.
Dalia MalaebObstetrics and Gynecology, Kanad Hospital, Abu Dhabi, ARE.
Dina ChamsyObstetrics and Gynecology, American University of Beirut Medical Center, Beirut, LBN.
Labib GhulmiyyahObstetrics and Gynecology, American University of Beirut Medical Center, Beirut, LBN.
Nabil El KhouryObstetrics and Gynecology, American University of Beirut Medical Center, Beirut, LBN.
Anwar NassarObstetrics and Gynecology, American University of Beirut Medical Center, Beirut, LBN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heterotopic pregnancy is a rare complication; however, its incidence is increasing. Double heterotopic pregnancy is an even rarer and potentially life-threatening condition. It refers to a situation in which a pregnant woman has at least one intrauterine pregnancy along with two ectopic pregnancies. We report a case of double heterotopic pregnancy, comprising one intrauterine pregnancy and two ectopic pregnancies, one in each fallopian tube, in a 27-year-old woman. The diagnosis was confirmed during laparoscopic management of a presumed single heterotopic pregnancy, with intraoperative suspicion of a contralateral ectopic pregnancy. Conception occurred via intrauterine insemination following ovulation induction. The pregnancy subsequently resulted in a full-term vaginal delivery of a healthy male infant. Atypical forms of heterotopic pregnancy involving more than one ectopic gestation are extremely rare. Heterotopic pregnancy is life-threatening and poses significant challenges in both diagnosis and management, particularly in cases of double heterotopic pregnancy. An early and accurate diagnosis, along with timely management, whether medical or surgical, is key to a good prognosis and is considered life-saving for both the mother and the intrauterine pregnancy.

Indexed as

bilateral tubalcase reportdiagnosisheterotopic pregnancymanagement

Identifiers

PMID42181499
PMCPMC13197727

What OpenQuestion holds

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LicenceCC BY
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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.