A Rare Phenomenon Spontaneous Heterotropic Pregnancy: Case Report

Yıl 2024, , 740 - 742, 31.10.2024

Osman Yıldırım

https://doi.org/10.54005/geneltip.1423937

Öz

Introduction: Heterotopic pregnancy is a rare condition accompanied by intrauterine and ectopic pregnancy.
Case: Intrauterine pregnancy and a suspicious ectopic focus were observed in a thirty-seven-year-old patient with no risk factors who presented with menstrual delay. The ectopic pregnancy was successfully removed by surgery to preserve the uterine pregnancy.
Discussion: This case report discusses the importance of early diagnosis and management of heterotopic pregnancy to avoid both fetal and maternal morbidity and mortality.
Conclusion: It is important to evaluate the adnexia along with the uterus in determining pregnancy in patients presenting with menstrual delay. Additionally, laparoscopy is a reliable option in the treatment of heterotropic pregnancy.

Anahtar Kelimeler

Ectopic pregnancy, Heterotropic pregnancy, Laparoscopy, Transvaginal ultrasonography

Nadir Bir Olgu Spontan Heterotropik Gebelik: Olgu Sunumu

Öz

Giriş: Heterotopik gebelik, intrauterin ve ektopik gebeliğin eşlik ettiği nadir bir durumdur.
Olgu: Otuz yedi yaşında, herhangi bir risk faktörü bulunmayan ve adet gecikmesi şikayetiyle başvuran hastada intrauterin gebelik ve şüpheli ektopik odak izlendi. Ektopik gebelik, intrauterin gebelik korunarak cerrahi olarak başarıyla çıkarıldı.
Tartışma: Bu vaka raporunda hem fetal hem de maternal morbidite ve mortaliteyi önlemek için heterotopik gebeliğin erken tanı ve tedavisinin önemi tartışılmaktadır.
Sonuç: Adet gecikmesi ile başvuran hastalarda gebeliğin belirlenmesinde uterus ile birlikte adneksinin de değerlendirilmesi önemlidir. Ayrıca laparoskopi heterotropik gebelik tedavisinde güvenilir bir seçenektir.

Anahtar Kelimeler

Ektopik gebelik, Heterotropik gebelik, Laparoskopi, Transvajinal ultrasonograf

Kaynakça

• Siraj, S., W. Wee-Stekly, and B. Chern, Heterotopic pregnancy in a natural conception cycle presenting as acute abdomen: a case report and literature review. Gynecology and Minimally Invasive Therapy, 2014. 3(3): p. 100-102.
• Maleki, A., et al., The rising incidence of heterotopic pregnancy: current perspectives and associations with in-vitro fertilization. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2021. 266: p. 138-144.
• Farnaghi, S. and A. Kothari, Heterotopic pregnancy: a report of two cases. Australasian Journal of Ultrasound in Medicine, 2013. 16(1): p. 30-36.
• Jeon, J.H., et al., The risk factors and pregnancy outcomes of 48 cases of heterotopic pregnancy from a single center. Journal of Korean medical science, 2016. 31(7): p. 1094-1099.
• Wu, Z., et al., Clinical analysis of 50 patients with heterotopic pregnancy after ovulation induction or embryo transfer. European Journal of Medical Research, 2018. 23(1): p. 1-9.
• Oron, G. and T. Tulandi, A pragmatic and evidence-based management of ectopic pregnancy. Journal of minimally invasive gynecology, 2013. 20(4): p. 446-454.
• Chukus, A., et al., Uncommon implantation sites of ectopic pregnancy: thinking beyond the complex adnexal mass. Radiographics, 2015. 35(3): p. 946-959.
• Oancea, M., et al., Spontaneous heterotopic pregnancy with unaffected intrauterine pregnancy: systematic review of clinical outcomes. Medicina, 2020. 56(12): p. 665.
• Talbot, K., et al., Heterotopic pregnancy. Journal of Obstetrics and Gynaecology, 2011. 31(1): p. 7-12.
• Barrenetxea, G., et al., Heterotopic pregnancy: two cases and a comparative review. Fertility and sterility, 2007. 87(2): p. 417. e9-417. e15.
• Eom, J.M., et al., Surgical and obstetric outcomes of laparoscopic management for women with heterotopic pregnancy. Journal of Obstetrics and Gynaecology Research, 2013. 39(12): p. 1580-1586.
• Martin, J.A., B.E. Hamilton, and M.J. Osterman, Three decades of twin births in the United States, 1980-2009. 2012.