Heterotopic Pregnancy: A Case Report of Retrospective Diagnosis Following Surgical Treatment
Journal Title: Gynecology and Obstetrics Research – Open Journal - Year 2015, Vol 2, Issue 4
Abstract
Introduction: Heterotopic pregnancy is a rare occurrence. Very few clinicians may come across heterotopic gestations during their careers. It is a difficult condition to diagnose. It can lead to maternal mortality. Case presentation: I present a case of a 27-year-old patient who presented to me with signs and symptoms of a ruptured ectopic pregnancy. Prompt laparotomy was done and a left tubal ectopic pregnancy was found with a 1.5 litres of hematoperitoneum. The patient requested premature discharge from hospital and on follow-up turned out to be having a viable intrauterine pregnancy. A retrospective diagnosis of heterotopic pregnancy was then made. Conclusion: The diagnosis of a heterotopic pregnancy can be difficult to make. In this case where laboratory, radiological and blood transfusion services are not readily available, prompt surgery based on a clinical picture was life-saving and allowed the intrauterine pregnancy to progress.
Authors and Affiliations
Solwayo Ngwenya
Keywords
Related Articles
- EP ID EP553561
- DOI 10.17140/GOROJ-2-117
- Views 164
- Downloads 0
Developmental Environmental Exposure Alters the Epigenetic Features of Myometrial Stem Cells
Uterine fibroids (UFs), are the most common pelvic tumors, occurring in 70-80% of all reproductive-aged women and are the leading indication for hysterectomy worldwide.1-3 Although UFs are benign tumors, they typically c...
Bilateral Massive Hematoma of Bartholin Glands after Prolonged Labour: A Case Report
Background: The early postpartum hematoma represents a rare complication which can appear in the early post-partum period. Its formation and development is favoured by the hypervascularization of the genital area during...
The Effect of the Introduction of Emergency Obstetric Drills on Maternal Mortality Trends in a Low-Resource Setting: A 5-Year Review at Mpilo Central Hospital, Bulawayo, Zimbabwe
Background: Maternal deaths are very distressing to the healthcare givers and devastating to surviving family members. They decimate young, healthy women at the peak of their reproductive lives. The deaths result in orph...
Pregnancy and Childbirth in Patients With Syndrome-MarfanPregnancy and Childbirth in Patients With Syndrome-Marfan
Marfan syndrome (MFS) is an autosomal dominant condition with a reported incidence rate of 1 in 3000 to 5000 individuals. The majority of cases of MFS are caused by a mutation in the fibrillin-1 gene (FBN1). Transforming...
Case Report of Unusual Stromal Luteinization in High-Grade Papillary Serous Carcinoma of the Ovary
Stromal luteinization has been reported to be associated with benign and malignant epithelial ovarian tumors, predominantly mucinous and often endometrioid ovarian neoplasm. We report here an unusual case of marked ovari...