| Autor: |
Selim, Mohamed Fouad, Abdou, Manal Mohamed Ali, Al-Bahrani, Ghada |
| Předmět: |
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| Zdroj: |
Journal of Gynecologic Surgery; Dec2018, Vol. 34 Issue 6, p301-303, 3p |
| Abstrakt: |
Background: Bilateral tubal ectopic pregnancies are rare; if associated with intrauterine pregnancy, these ectopic pregnancies are extremely rare. Urgent management of this extremely rare pregnancy is vital because of the associated morbidity and mortality. The appropriate fertility-preserving surgery must also be considered. Case: A 23-year-old primigravida was diagnosed with simultaneous bilateral tubal ectopic pregnancies and an intrauterine pregnancy following induction of ovulation with clomiphene citrate. At laparotomy, the diagnosis of a ruptured left tubal ectopic pregnancy and an unruptured right tubal ectopic pregnancy with a coexisting single viable intrauterine pregnancy were confirmed. The case was managed with a left salpingectomy and a right salpingotomy. After 48 hours, suction evacuation was performed for the incomplete abortion of the third intrauterine pregnancy that developed after the surgery. Results: This patient was discharged uneventfully on the fifth postoperative day. After 3 weeks, she was found to be good with nonpredictable serum β-human chorionic gonadotropin. Conclusions: All gynecologists should be aware of heterotopic and other rare types of ectopic pregnancies when assessing any case of early pregnancy to ensure early diagnosis and early proper management. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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