Spontaneous ovarian heterotopic pregnancy
| Autor: | Russell Stanley, Anjana R. Nair, Francisco Fiallo |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
endocrine system medicine.medical_specialty Gestational sac Chorionic Gonadotropin Human chorionic gonadotropin Pregnancy Ovarian 03 medical and health sciences Salpingectomy 0302 clinical medicine Pregnancy Risk Factors Medicine Humans Vaginal bleeding 030212 general & internal medicine Gynecology 030219 obstetrics & reproductive medicine Heterotopic pregnancy Ectopic pregnancy business.industry Fetal pole Correction General Medicine medicine.disease medicine.anatomical_structure Gestation Female Uterine Hemorrhage medicine.symptom business hormones hormone substitutes and hormone antagonists |
| Zdroj: | BMJ case reports. 2018 |
| ISSN: | 1757-790X |
| Popis: | Heterotopic pregnancy is a simultaneous intrauterine and ectopic pregnancy. We report a case of a spontaneous ovarian heterotopic pregnancy. A 36-year-old woman, gravida 7 para 4-1-1-5 at 4 weeks gestation (spontaneous conception), presented to the emergency department with vaginal spotting, lower abdominal cramps with human chorionic gonadotropin(hCG) 10 772 mIU/mL (hCG at T0). Abdominal and pelvic examinations were benign. Transvaginal sonogram (TVS) showed an intrauterine gestational sac and yolk sac, no fetal pole visualised. She was discharged home with a diagnosis of threatened abortion. The patient returned to the emergency department 3 weeks later (T1) at 7 weeks gestation with recurrent vaginal bleeding and lower abdominal pain. Her TVS showed an empty uterus with small amount of free fluid in the cul-de-sac. A small 2 cm round mass noted in the adnexa with hCG of 4663 mIU/mL (hCG at T1). Laparoscopy revealed normal fallopian tubes bilaterally and a ruptured right ovarian ectopic pregnancy. Pathology was consistent with ectopic pregnancy. Abnormal hCG patterns should raise suspicion for heterotopic pregnancy. |
| Databáze: | OpenAIRE |
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