Heterotopic pregnancy with molar changes

Heterotopic pregnancy with live twins.

A 24-year-old primigravida presented with subacute ectopic pregnancy and had salpingectomy for a ruptured tubal pregnancy involving the ampullary portion of the left fallopian tube. Post-operative follow-up revealed continuing symptoms of pregnancy and increasing uterine size. A diagnosis of multiple pregnancy was confirmed by abdominal ultrasonography. The patient was managed to term and had n...

Laparoscopic Management of Heterotopic Interstitial Pregnancy with Subsequent Term Delivery

A 35 year-old woman at 7-week gestational age was referred to our hospital. The patient was diagnosed with the heterotopic interstitial pregnancy by transvaginal ultrasonography after receiving in vitro fertilization (IVF) and embryo transfer. Laparoscopic excision and curettage was successfully performed at 8.4-gestational age under general anesthesia and the patient was discharged 2 days afte...

Molar Pregnancy Presents as Tubal Ectopic Pregnancy

Heterotopic Pregnancy after Assisted Reproductive Techniques

Heterotopic pregnancy (HP) is the simultaneous occurrence of intra- and extrauterine pregnancies. It is a rare event in spontaneous pregnancies with an incidence of less than 1:15000 however the frequency has increased to 1% in accordance with the widespread use of assisted reproductive techniques (ART). The pre-operative diagnosis of this condition is generally difficult and it would be life t...

Molar Pregnancy

Figure. A transabdominal ultrasound of the pelvis revealing a uterus (arrow) with multiple cystic areas within an enlarged echogenic endometrial cavity (arrowhead). A 15-year-old Hispanic primigravid female at 12 weeks gestation presented to the Emergency Department (ED) complaining of vaginal bleeding for two days. The patient denied any abdominal pain, nausea, vomiting, or fever. On physical ...