Document Detail

Heterotopic pregnancy: report of three cases.
MedLine Citation:
PMID:  12238314     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Heterotopic pregnancy, defined as concomitant intrauterine and ectopic pregnancy, is a rare event. Assisted reproductive technologies have led to an increase in the number of heterotopic pregnancies. MATERIALS AND METHOD: From 1997 to 1999 three cases of heterotopic pregnancies were referred to the gynecological unit of the hospital of St. Pölten. The condition was diagnosed at 7, 8 and 12 weeks of gestation, respectively. Two patients had undergone assisted reproductive technologies and former pelvic surgery for tubal pregnancy. Two patients had intrauterine singleton pregnancies and one patient had an intrauterine twin pregnancy. In all cases the ectopic site presented as a ruptured tubal pregnancy and the treatment consisted of laparoscopic salpingectomy. RESULTS: In all patients the postoperative course was uneventful and the intrauterine pregnancy progressed. In one case recurrent preterm labor led to vaginal delivery at 33 weeks of pregnancy. In the case of twin pregnancy, a planned cesarean section was performed at 37 weeks of gestation. One patient delivered at term. All newborns were healthy. CONCLUSION: Knowledge of heterotopic pregnancy and understanding the epidemiological risk factors underlying this condition are important for early diagnosis with the aim of improving therapy and clinical outcome.
Irmhild Gruber; Johann Lahodny; Karl Illmensee; Alexander Lösch
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Wiener klinische Wochenschrift     Volume:  114     ISSN:  0043-5325     ISO Abbreviation:  Wien. Klin. Wochenschr.     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-09-19     Completed Date:  2002-12-04     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  21620870R     Medline TA:  Wien Klin Wochenschr     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  229-32     Citation Subset:  IM    
Department of Obstetrics and Gynecology, St. Pölten Hospital, St. Pölten, Austria.
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MeSH Terms
Embryo Transfer
Fallopian Tubes / surgery
Fertilization in Vitro
Obstetric Labor, Premature / etiology
Postoperative Complications / etiology
Pregnancy Trimester, First
Pregnancy, Multiple
Pregnancy, Tubal / diagnosis*,  surgery
Ultrasonography, Prenatal

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