1/3. Heterotopic pregnancy at 16 weeks of gestation after in-vitro fertilization and embryo transfer.We present an heterotopic pregnancy at 16 weeks of gestation following IVF/ET treatment with the ectopic pregnancy located in the left fallopian tube. Intra-abdominal bleeding secondary to an heterotopic pregnancy, causing acute abdominal pain and hemorrhagic shock, should be included in the differential diagnosis even in the second trimester of pregnancy, especially in patients, achieving conception with the use of assisted reproduction techniques.- - - - - - - - - - ranking = 1keywords = fertilization (Clic here for more details about this article) |
2/3. Ruptured heterotopic pregnancy presenting with relative bradycardia in a woman not receiving reproductive assistance.We report a case of heterotopic pregnancy in a woman who had not undergone in vitro fertilization or any other reproductive assistance. The patient failed to mount a tachycardic response to hemorrhagic shock. bradycardia is a well-established phenomenon in the setting of hemoperitoneum and particularly with ruptured ectopic pregnancy. This is a case of heterotopic pregnancy with relative bradycardia in a woman without predisposing factors for heterotopic pregnancy. We make suggestions on avoiding common pitfalls in the emergency department diagnosis of heterotopic pregnancy. We also address the similar clinical presentations of heterotopic pregnancy and intrauterine pregnancy with ruptured corpus luteum cyst.- - - - - - - - - - ranking = 0.25keywords = fertilization (Clic here for more details about this article) |
3/3. in vitro fertilization patient presenting in hemorrhagic shock caused by unsuspected heterotopic pregnancy.A 30-year-old woman who had undergone in vitro fertilization and embryo transfer (IVF-ET) presented to the emergency department in hemorrhagic shock 4 weeks after a spontaneous abortion. She was found to have a ruptured uterus caused by an unsuspected second pregnancy located in the cornual region of the uterus. women undergoing IVF-ET are at a higher risk for multiple pregnancies, ectopic pregnancies, and heterotopic pregnancies.- - - - - - - - - - ranking = 1.25keywords = fertilization (Clic here for more details about this article) |