Heterotopic Pregnancy Causes, Signs, and Diagnosis

 

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Causes, Signs, and Diagnosis of Heterotopic Pregnancy||General Gynaecological issues

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Heterotopic Pregnancy Causes, Signs, and Diagnosis Rates of Heterotopic Pregnancy. Like all multiple pregnancies, heterotopic pregnancy is most common in couples who Symptoms. A woman experiencing a heterotopic pregnancy may or may not have symptoms. This is. Differential diagnosis.

A possible pregnancy must be considered in any woman who has abdominal pain or abnormal vaginal bleeding. A heterotopic pregnancy may have similar signs and symptoms as a normal intrauterine pregnancy, a normal intrauterine pregnancy and a ruptured ovarian cyst, a corpus luteum, or appendicitis. Although the cause of heterotopic pregnancy varies from one woman to the next, some of the more common causes are: History of pelvic inflammatory disease; Surgical treatment for infertility; Forces generated during embryo transfer, which is the surgical placement of an embryo in the uterus (part of the IVF procedure) Heterotopic Pregnancy Symptoms.

Differential diagnosis. A possible pregnancy must be considered in any woman who has abdominal pain or abnormal vaginal bleeding. A heterotopic pregnancy may have similar signs and symptoms as a normal intrauterine pregnancy, a normal intrauterine pregnancy and a ruptured ovarian cyst, a corpus luteum, or appendicitis. Causes, Signs, and Diagnosis of Heterotopic Pregnancy||General Gynaecological issues Ectopic Pregnancy Overview (pathophysiology, signs and symptoms, treatment, Ectopic Pregnancy. Heterotopic pregnancy is a condition in which the uterine and ectopic localization of fetal eggs occurs simultaneously.

This type of pathology occurs in 1-3% of all cases of in vitro fertilization, and with a frequency of 1: 30,000 from all cases of natural conception. Heterotopic pregnancy is. A 29-year-old gravida 10, para 3 (1 term gestation, 1 preterm gestation of twins, 1 stillbirth at 5 months, 2 spontaneous abortions, and 4 elective abortions) presented to the clinic at about 5 weeks’ gestation with abdominal pain and vaginal bleeding. She described the pain as sporadic, mostly on the left side, exacerbated by movement, and resolving with rest, and the bleeding as initially.

The three classic signs and symptoms of ectopic pregnancy include abdominal pain, the absence of menstrual periods (amenorrhea), and vaginal bleeding or intermittent bleeding. The however, about 50% of females with an ectopic pregnancy will not have all three signs. Your specific symptoms depend on where the blood collects and which nerves are irritated. Emergency symptoms.

If the fertilized egg continues to grow in the fallopian tube, it can cause the tube to rupture. Heavy bleeding inside the abdomen is likely. Symptoms of this life-threatening event include extreme lightheadedness, fainting and shock. Rarely a normal pregnancy can co-exist with an ectopic pregnancy; this is called heterotopic pregnancy.

It is one of the common causes of severe bleeding and death in early pregnancy hence the need for an early scan to locate the pregnancy. The exact cause is not known but there are risk factors that predispose to having ectopic pregnancy.

List of related literature:

Transplacental rubella virus infection in pregnancy during the first 8 weeks is likely to cause infection in 50% of fetuses and to result in demonstrable defects in 85% of those infected.

“Mosby's Medical Dictionary E-Book” by Mosby
from Mosby’s Medical Dictionary E-Book
by Mosby
Elsevier Health Sciences, 2013

Apparent or nonapparent transplacental fetal infection during the first trimester of pregnancy can result in spontaneous abortion or fetal congenital defects such as cardiac lesions, cataracts, congenital heart defects, deafness, encephalitis, growth and

“Laboratory Tests and Diagnostic Procedures E-Book” by Cynthia C. Chernecky, Barbara J. Berger
from Laboratory Tests and Diagnostic Procedures E-Book
by Cynthia C. Chernecky, Barbara J. Berger
Elsevier Health Sciences, 2012

Abdominal pruritus at the end of the first trimester may be an isolated finding or an early sign of intrahepatic cholestasis of pregnancy with or without associated jaundice or one of the other specific dermatoses of pregnancy (Table 14-2).

“Maternal, Fetal, & Neonatal Physiology4: Maternal, Fetal, & Neonatal Physiology” by Susan Tucker Blackburn
from Maternal, Fetal, & Neonatal Physiology4: Maternal, Fetal, & Neonatal Physiology
by Susan Tucker Blackburn
Elsevier Saunders, 2012

Most women who are infected in pregnancy remain asymptomatic; less than 5% report aspecific symptoms and signs such as arthralgia, low fever, moderate lymph node swelling, and mononucleosis-like syndrome.

“Ultrasound of Congenital Fetal Anomalies: Differential Diagnosis and Prognostic Indicators, Second Edition” by Dario Paladini, Paolo Volpe
from Ultrasound of Congenital Fetal Anomalies: Differential Diagnosis and Prognostic Indicators, Second Edition
by Dario Paladini, Paolo Volpe
CRC Press, 2018

Another woman who was treated with goserelin during the first and second trimester of pregnancy developed severe oligohydramnios, and her baby died of pulmonary hypoplasia shortly after delivery (Warraich 2009).

“Drugs During Pregnancy and Lactation: Treatment Options and Risk Assessment” by Christof Schaefer, Paul W.J. Peters, Richard K Miller
from Drugs During Pregnancy and Lactation: Treatment Options and Risk Assessment
by Christof Schaefer, Paul W.J. Peters, Richard K Miller
Elsevier Science, 2014

• Pregnancy associated: bacteraemia producing a flu-like illness, and sometimes transplacental infection or ascending infection leading to abortion, stillbirth or neonatal sepsis.

“Medicine at a Glance” by Patrick Davey
from Medicine at a Glance
by Patrick Davey
Wiley, 2014

Pregnancy-related causes ofpulmonary edema and acute respiratory distress syndrome include tocolytics (drugs that slow contractions), preeclampsia, gastric aspiration, amniotic fluid embolism, sepsis (related to pyelonephritis, chorioamnionitis, endometritis, septic abortion), abruption, and obstetric hemorrhage.

“Goldman's Cecil Medicine,Expert Consult Premium Edition Enhanced Online Features and Print, Single Volume,24: Goldman's Cecil Medicine” by Russell La Fayette Cecil, Lee Goldman, Andrew I. Schafer
from Goldman’s Cecil Medicine,Expert Consult Premium Edition Enhanced Online Features and Print, Single Volume,24: Goldman’s Cecil Medicine
by Russell La Fayette Cecil, Lee Goldman, Andrew I. Schafer
Elsevier/Saunders, 2012

These antibodies can cause placental thrombosis, infarction, impaired trophoblastic function and abnormal placentation, and thus may lead to PIH, IUGR, IUFD and RPL.8,9 Pregnancy loss usually occurs in the mid trimester between 14 and 18 weeks.

“Textbook of Oral and Maxillofacial Surgery” by Balaji
from Textbook of Oral and Maxillofacial Surgery
by Balaji
Elsevier (A Divisionof Reed Elsevier India Pvt. Limited), 2009

Although a ruptured corpus luteum cyst can cause significant intra-peritoneal bleeding, any pregnant patient in her first trimester with a nontrivial amount of free fluid in the abdomen or pelvis should be considered to have a ruptured ectopic pregnancy until proven otherwise.

“Point of Care Ultrasound E-book” by Nilam J Soni, Robert Arntfield, Pierre Kory
from Point of Care Ultrasound E-book
by Nilam J Soni, Robert Arntfield, Pierre Kory
Elsevier Health Sciences, 2019

The disorders that occur specifically in pregnancy include intrahepatic cholestasis of pregnancy; acute fatty liver of pregnancy; changes in toxemia of pregnancy; changes in hemolysis, elevated liver tests, and low platelets (HELLP syndrome); and other miscellaneous conditions.

“Practical Hepatic Pathology: A Diagnostic Approach E-Book: A Volume in the Pattern Recognition Series” by Romil Saxena
from Practical Hepatic Pathology: A Diagnostic Approach E-Book: A Volume in the Pattern Recognition Series
by Romil Saxena
Elsevier Health Sciences, 2011

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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3 comments

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  • Thank you so much for posting this:) what a roller-coaster you’ve been through… I conceived on the 14th of Feb miscarried on the 25th of March and like you have been on an emotion and physical roller-coaster after a few different trips to the Ed they’ve finally found an etopic as well and I’ve been given a shot of chemo, so still a waiting game but it makes me feel not so alone and scared to watch your video and at this stage hopefully there’ll be no surgery… Its crazy how long it can take to diagnose and hard not to feel like your fogotton and floundering around in pain on your own I will speak to women of my experience also because it is so important and should be talked about more, its crazy to think that we’re all here on this earth because we give life yet we do have to go through alot of this unknown when it happens to so many women thank you for your video, I also noticed your choccies and I work at the source bulk foods xx

  • thanks for sharing your story. ive been told i have ectopic pregnancy but now there is a visible sac in the uterus maybe this was heterotopic. waiting to see the doctor tomorrow. hcg levels went down and up a bit….praying for one to be saved. so sorry for your loss and pain.

  • Thank you for this video I’m so sorry for your loss and thank you for education me with your hetrotopic loss I can’t believe it I’m so sorry ����I myself suffered an ectopic so I feel you An loosing my right tube was heartbreaking but it’s important you listen to the Beautiful women who have went on to have numerous children with one tube I have faith and continue to focus on that it’s possible xxx love from Ireland xx ����