Document Detail

Live birth after laparotomy for concurrent heterotopic pregnancy and appendicitis in a 6 weeks IVF pregnancy.
MedLine Citation:
PMID:  17021770     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: A term delivery after concurrent appendectomy and salpingectomy at 6 weeks in an appendicitis coexisting with a heterotopic pregnancy after in vitro fertilization (IVF) treatment is reported. METHODS: Case report. RESULTS: The patient presented with severe low abdominal pain at 6 weeks of pregnancy after IVF and had explorative laparotomy for appendicitis, during which she had appendectomy and salpingectomy for an undiagnosed concurrent heterotopic pregnancy. The patient delivered a 3,960 g healthy infant at 38 weeks. CONCLUSION: In patients with severe abdominal pain after IVF, appendicitis and heterotopic pregnancy should be included in the differential diagnosis. A dual pathology is possible and when treated appropriately it can result in survival of the precious intrauterine pregnancy. This is the second and earliest ever reported case of that resulted in live birth. It shows that explorative surgery must be performed timely in acute abdomen in pregnancy.
Alexandros Daponte; Mihail Spyridakis; Maria Ioannou; Polyxeni Vanakara; Georgios Tzovaras; Konstantine Hatzitheofilou; Ioannis E Messinis
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-09-23
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  275     ISSN:  0932-0067     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-03-22     Completed Date:  2007-11-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  397-9     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, University Hospital of Larissa, 41110 Larissa, Greece.
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MeSH Terms
Appendicitis / surgery*
Fallopian Tubes / surgery
Fertilization in Vitro*
Live Birth*
Pregnancy, Ectopic / diagnosis,  surgery*

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