An Incidental Finding of Heterotopic Pregnancy in a Patient Presented with acute Abdomen post D&C of Unwanted Pregnancy

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internalnotes 1. Hassani KIM, Bouazzaoui AEI, Khatouf M, Mazaz K. Heterotopic pregnancy: A diagnosis we should suspect more often. J Emerg Trauma Shock. 2010;3(3):304. doi:10.4103/0974-2700.66563. 2. Govindarajan MJ, Rajan R. Heterotopic pregnancy in natural conception. Journal of Human Reproductive Sciences. 2008;1(1):37-8. 3. Basile F, Di Cesare C, Quagliozzi L, Donati L, Bracaglia M, Caruso A, et al. Spontaneous Heterotopic Pregnancy, Simultaneous Ovarian, and Intrauterine: A Case Report,” Case Reports in Obstetrics and Gynecology, vol. 2012, Article ID 509694, 4 pages, 2012. doi:10.1155/2012/509694 4. Stucki D, Buss J. The ectopic pregnancy, a diagnostic and therapeutic challenge. Journal of Medicine and Life. 2008;1(1):40-8. 5. Hechtman J, Jick B. Heterotopic Pregnancy, Pregnancy corner. 2015. Available from http://www.pregnancycorner.com/loss/heterotopic-pregnancy.html [Accessed on 17-12-2015] 6. Baffoe P, Fofie C, Gandau BN. Term Abdominal Pregnancy with Healthy Newborn: A Case Report. Ghana Med J. 2011;45(2):81-3. 7. Sivalingam VN, Duncan WC, Kirk E, Shephard LA, Horne AW. Diagnosis and management of ectopic pregnancy. J Fam Plann Reprod Health Care. 2011;37(4):231-40. 8. Nwobodo EI. Abdominal pregnancy: a case report. Ann Afr Med. 2004;3:195-6. 9. Dabiri T, Marroquin GA, Bendek B, Agamasu E, Mikhail M. “Advanced Extrauterine Pregnancy at 33 Weeks with a Healthy Newborn,”. Bio Med Research International. 2014;2014: Article ID 102479. 10. Tal J, Haddad S, Gordon N, Timor-Tritsch I. Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: a literature review from 1971 to 1993. Fertil Steril. 1996;66:1-12. 11. Govindarajan MJ, Rajan R. Heterotopic pregnancy in natural conception. J Hum Reprod Sci. 2008;1(1):37-8. 12. Noor N, Bano I, Parveen S. Heterotopic pregnancy with successful pregnancy outcome. J Hum Reprod Sci. 2012;5(2):213-4. 13. Luo X, Lim CE, Huang C, Wu J, Wong WS, Cheng NC. Heterotopic pregnancy following in vitro fertilization and embryo transfer: 12 cases report. Arch Gynecol Obstet. 2009; 280: 325-9. 14. Mistry BM, Balasubramaniam S, Silverman R, Sakabu SA, Troop BR. Heterotopic pregnancy presenting as an acute abdomen: A diagnostic masquerader. Am Surg. 2000;66(3):307-8. 15. Kaali SG, Szigetvari IA, Bartfai GS. The frequency and management of uterine perforations during first-trimester abortions. Am J Obstet Gynecol. 1989; 161(2):406-8. 16. Tristan SB, Gilliam M. First trimester surgical abortion. Clin Obstet Gynecol. 2009;52:151-159. 17. Coughlin LM, Sparks DA, Chase DM, Smith J. Incarcerated small bowel associated with elective abortion uterine perforation. J Emerg Med. 2013;44:e303-6. 18. Augustin G, Majerovic M, Luetic T. Uterine perforation as a complication of surgical abortion-causing small bowel obstruction: a review. Arch Gynecol Obstet. 2013;288(2):311-23. 19. Ntia IO, Ekele BA. Bowel prolapse through perforated uterus following induced abortion. West Afr J Med. 2000;19(3):209-11. 20. Dignac A, Novellas S, Fournol M, Caramella T, Bafghi A, Chevallier P. Incarceration of the appendix complicating a uterine perforation following surgical abortion: CT aspects. Emerg Radiol. 2008;15(4):267-9. 21. Ozaki K, Suzuki S. Uterine perforation with omentum incarceration after dilatation and evacuation/curettage. Arch Gynecol Obstet. 2013;287: 607-8. 22. King M, Bewes PC, Cairns J, Thornton J. Primary Surgery, Volume One: Nontrauma. Chapter 8. The surgery of pregnancy. Abdominal pregnancy. Jenna 1999. Available from http://www.meb.uni-bonn.de/dtc/primsurg/docbook/html/ x5173.html [Access date 17-12-2015] 23. Gradzinskas JG. Abdominal pregnancy. In: Edmond OK (ed). Dewhurst’s textbook of Obstetrics and Gynaecology for Postgraduates. Blackwell, Edinburgh, 1999.
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spelling 12905 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=12905 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072 Restricted Document Article Journal application/pdf Adobe Acrobat Pro DC 20 Paper Capture Plug-in with ClearScan 4 1.6 Adobe Acrobat Pro DC 20.6.20042 2024-08-27 15:24:53 7212-01-FH02-FP-16-05614.pdf UniSZA Private Access An Incidental Finding of Heterotopic Pregnancy in a Patient Presented with acute Abdomen post D&C of Unwanted Pregnancy Journal of Young Pharmacists Spontaneous heterotopic pregnancy is a rare condition. There is the simultaneous presence of intrauterine and extrauterine pregnancies. Such condition can be a life-threatening. The diagnosis can also be easily missed especially in early pregnancy. We present this case of a 28-year old patient who was misdiagnosed as normal intrauterine pregnancy. She had illegal termination of unwanted 14-week pregnancy in a private hospital. The patient presented to us with acute abdomen two days after D&C. Following clinical examination, uterine perforation was suspected. Abdominal ultrasound showed a coexisting abdominal pregnancy in the right hypochondrium. his heterotopic pregnancy was undiagnosed at her initial presentation to the first hospital. Emergency laparotomy was done, uterine perforation was sutured and abdominal pregnancy was excised. 8 2 156-158 1. Hassani KIM, Bouazzaoui AEI, Khatouf M, Mazaz K. Heterotopic pregnancy: A diagnosis we should suspect more often. J Emerg Trauma Shock. 2010;3(3):304. doi:10.4103/0974-2700.66563. 2. Govindarajan MJ, Rajan R. Heterotopic pregnancy in natural conception. Journal of Human Reproductive Sciences. 2008;1(1):37-8. 3. Basile F, Di Cesare C, Quagliozzi L, Donati L, Bracaglia M, Caruso A, et al. Spontaneous Heterotopic Pregnancy, Simultaneous Ovarian, and Intrauterine: A Case Report,” Case Reports in Obstetrics and Gynecology, vol. 2012, Article ID 509694, 4 pages, 2012. doi:10.1155/2012/509694 4. Stucki D, Buss J. The ectopic pregnancy, a diagnostic and therapeutic challenge. Journal of Medicine and Life. 2008;1(1):40-8. 5. Hechtman J, Jick B. Heterotopic Pregnancy, Pregnancy corner. 2015. Available from http://www.pregnancycorner.com/loss/heterotopic-pregnancy.html [Accessed on 17-12-2015] 6. Baffoe P, Fofie C, Gandau BN. Term Abdominal Pregnancy with Healthy Newborn: A Case Report. Ghana Med J. 2011;45(2):81-3. 7. Sivalingam VN, Duncan WC, Kirk E, Shephard LA, Horne AW. Diagnosis and management of ectopic pregnancy. J Fam Plann Reprod Health Care. 2011;37(4):231-40. 8. Nwobodo EI. Abdominal pregnancy: a case report. Ann Afr Med. 2004;3:195-6. 9. Dabiri T, Marroquin GA, Bendek B, Agamasu E, Mikhail M. “Advanced Extrauterine Pregnancy at 33 Weeks with a Healthy Newborn,”. Bio Med Research International. 2014;2014: Article ID 102479. 10. Tal J, Haddad S, Gordon N, Timor-Tritsch I. Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: a literature review from 1971 to 1993. Fertil Steril. 1996;66:1-12. 11. Govindarajan MJ, Rajan R. Heterotopic pregnancy in natural conception. J Hum Reprod Sci. 2008;1(1):37-8. 12. Noor N, Bano I, Parveen S. Heterotopic pregnancy with successful pregnancy outcome. J Hum Reprod Sci. 2012;5(2):213-4. 13. Luo X, Lim CE, Huang C, Wu J, Wong WS, Cheng NC. Heterotopic pregnancy following in vitro fertilization and embryo transfer: 12 cases report. Arch Gynecol Obstet. 2009; 280: 325-9. 14. Mistry BM, Balasubramaniam S, Silverman R, Sakabu SA, Troop BR. Heterotopic pregnancy presenting as an acute abdomen: A diagnostic masquerader. Am Surg. 2000;66(3):307-8. 15. Kaali SG, Szigetvari IA, Bartfai GS. The frequency and management of uterine perforations during first-trimester abortions. Am J Obstet Gynecol. 1989; 161(2):406-8. 16. Tristan SB, Gilliam M. First trimester surgical abortion. Clin Obstet Gynecol. 2009;52:151-159. 17. Coughlin LM, Sparks DA, Chase DM, Smith J. Incarcerated small bowel associated with elective abortion uterine perforation. J Emerg Med. 2013;44:e303-6. 18. Augustin G, Majerovic M, Luetic T. Uterine perforation as a complication of surgical abortion-causing small bowel obstruction: a review. Arch Gynecol Obstet. 2013;288(2):311-23. 19. Ntia IO, Ekele BA. Bowel prolapse through perforated uterus following induced abortion. West Afr J Med. 2000;19(3):209-11. 20. Dignac A, Novellas S, Fournol M, Caramella T, Bafghi A, Chevallier P. Incarceration of the appendix complicating a uterine perforation following surgical abortion: CT aspects. Emerg Radiol. 2008;15(4):267-9. 21. Ozaki K, Suzuki S. Uterine perforation with omentum incarceration after dilatation and evacuation/curettage. Arch Gynecol Obstet. 2013;287: 607-8. 22. King M, Bewes PC, Cairns J, Thornton J. Primary Surgery, Volume One: Nontrauma. Chapter 8. The surgery of pregnancy. Abdominal pregnancy. Jenna 1999. Available from http://www.meb.uni-bonn.de/dtc/primsurg/docbook/html/ x5173.html [Access date 17-12-2015] 23. Gradzinskas JG. Abdominal pregnancy. In: Edmond OK (ed). Dewhurst’s textbook of Obstetrics and Gynaecology for Postgraduates. Blackwell, Edinburgh, 1999.
spellingShingle An Incidental Finding of Heterotopic Pregnancy in a Patient Presented with acute Abdomen post D&C of Unwanted Pregnancy
summary Spontaneous heterotopic pregnancy is a rare condition. There is the simultaneous presence of intrauterine and extrauterine pregnancies. Such condition can be a life-threatening. The diagnosis can also be easily missed especially in early pregnancy. We present this case of a 28-year old patient who was misdiagnosed as normal intrauterine pregnancy. She had illegal termination of unwanted 14-week pregnancy in a private hospital. The patient presented to us with acute abdomen two days after D&C. Following clinical examination, uterine perforation was suspected. Abdominal ultrasound showed a coexisting abdominal pregnancy in the right hypochondrium. his heterotopic pregnancy was undiagnosed at her initial presentation to the first hospital. Emergency laparotomy was done, uterine perforation was sutured and abdominal pregnancy was excised.
title An Incidental Finding of Heterotopic Pregnancy in a Patient Presented with acute Abdomen post D&C of Unwanted Pregnancy
title_full An Incidental Finding of Heterotopic Pregnancy in a Patient Presented with acute Abdomen post D&C of Unwanted Pregnancy
title_fullStr An Incidental Finding of Heterotopic Pregnancy in a Patient Presented with acute Abdomen post D&C of Unwanted Pregnancy
title_full_unstemmed An Incidental Finding of Heterotopic Pregnancy in a Patient Presented with acute Abdomen post D&C of Unwanted Pregnancy
title_short An Incidental Finding of Heterotopic Pregnancy in a Patient Presented with acute Abdomen post D&C of Unwanted Pregnancy
title_sort incidental finding of heterotopic pregnancy in a patient presented with acute abdomen post d&c of unwanted pregnancy