Laparoscopic management of quadruplet heterotopic pregnancy after ovarian stimulation cycle

Gloria Calagna, Giuseppe Di Buono, Antonino Perino, Fabio Fiorino, Picciotto, Maria Francesca Guarneri

Research output: Contribution to journalArticle

Abstract

Introduction. We report a rare case of a heterotopic abdominal pregnancy with three intrauterine pregnancy, one with a viable fetus, treated successfully by laparoscopy.Methods. A 40-year-old patient with primary sterility, who un- derwent pharmacological ovulation induction, presented abdominal pain in the right iliac region. A trans-vaginal ultrasound showed an image suggestive of ectopic gestation near the right ovary, associated with three intrauterine gestational sacs with only one viable fetus. Basing on this observation, we performed an operative laparoscopy that confirmed the presence of a right ectopic abdominal pregnancy. Since the right ampullar tubal was ruptured and bleeding, we car- ried out a salpingectomy with complete removal of ectopic abdominal pregnancy. Discussion. After laparoscopic surgery, on postoperative day 1, ultrasonographic examination showed an ongoing intrauterine pre- gnancy with the two empty gestational sacs. Postoperative course was without any complications and the patient was discharged on posto- perative day 3. Gestation went on uneventfully until at term vaginal delivery.Conclusions: Laparoscopic treatment of abdominal pregnancy with an intrauterine viable pregnancy resulted safe for both mother and fetus. An adnexal mass in a pregnant patient with a history of ovulation induction might be the indicator of an heterotopic pre- gnancy.
Original languageEnglish
Pages (from-to)381-384
Number of pages4
JournalGiornale Italiano di Ostetricia e Ginecologia
Publication statusPublished - 2016

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Quadruplet Pregnancy
Heterotopic Pregnancy
Abdominal Pregnancy
Ovulation Induction
Menstrual Cycle
Pregnancy
Gestational Sac
Laparoscopy
Fetus
Ectopic Pregnancy
Salpingectomy
Infertility
Abdominal Pain
Ovary
Mothers
Pharmacology
Hemorrhage

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

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title = "Laparoscopic management of quadruplet heterotopic pregnancy after ovarian stimulation cycle",
abstract = "Introduction. We report a rare case of a heterotopic abdominal pregnancy with three intrauterine pregnancy, one with a viable fetus, treated successfully by laparoscopy.Methods. A 40-year-old patient with primary sterility, who un- derwent pharmacological ovulation induction, presented abdominal pain in the right iliac region. A trans-vaginal ultrasound showed an image suggestive of ectopic gestation near the right ovary, associated with three intrauterine gestational sacs with only one viable fetus. Basing on this observation, we performed an operative laparoscopy that confirmed the presence of a right ectopic abdominal pregnancy. Since the right ampullar tubal was ruptured and bleeding, we car- ried out a salpingectomy with complete removal of ectopic abdominal pregnancy. Discussion. After laparoscopic surgery, on postoperative day 1, ultrasonographic examination showed an ongoing intrauterine pre- gnancy with the two empty gestational sacs. Postoperative course was without any complications and the patient was discharged on posto- perative day 3. Gestation went on uneventfully until at term vaginal delivery.Conclusions: Laparoscopic treatment of abdominal pregnancy with an intrauterine viable pregnancy resulted safe for both mother and fetus. An adnexal mass in a pregnant patient with a history of ovulation induction might be the indicator of an heterotopic pre- gnancy.",
author = "Gloria Calagna and {Di Buono}, Giuseppe and Antonino Perino and Fabio Fiorino and Picciotto and Guarneri, {Maria Francesca}",
year = "2016",
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T1 - Laparoscopic management of quadruplet heterotopic pregnancy after ovarian stimulation cycle

AU - Calagna, Gloria

AU - Di Buono, Giuseppe

AU - Perino, Antonino

AU - Fiorino, Fabio

AU - Picciotto, null

AU - Guarneri, Maria Francesca

PY - 2016

Y1 - 2016

N2 - Introduction. We report a rare case of a heterotopic abdominal pregnancy with three intrauterine pregnancy, one with a viable fetus, treated successfully by laparoscopy.Methods. A 40-year-old patient with primary sterility, who un- derwent pharmacological ovulation induction, presented abdominal pain in the right iliac region. A trans-vaginal ultrasound showed an image suggestive of ectopic gestation near the right ovary, associated with three intrauterine gestational sacs with only one viable fetus. Basing on this observation, we performed an operative laparoscopy that confirmed the presence of a right ectopic abdominal pregnancy. Since the right ampullar tubal was ruptured and bleeding, we car- ried out a salpingectomy with complete removal of ectopic abdominal pregnancy. Discussion. After laparoscopic surgery, on postoperative day 1, ultrasonographic examination showed an ongoing intrauterine pre- gnancy with the two empty gestational sacs. Postoperative course was without any complications and the patient was discharged on posto- perative day 3. Gestation went on uneventfully until at term vaginal delivery.Conclusions: Laparoscopic treatment of abdominal pregnancy with an intrauterine viable pregnancy resulted safe for both mother and fetus. An adnexal mass in a pregnant patient with a history of ovulation induction might be the indicator of an heterotopic pre- gnancy.

AB - Introduction. We report a rare case of a heterotopic abdominal pregnancy with three intrauterine pregnancy, one with a viable fetus, treated successfully by laparoscopy.Methods. A 40-year-old patient with primary sterility, who un- derwent pharmacological ovulation induction, presented abdominal pain in the right iliac region. A trans-vaginal ultrasound showed an image suggestive of ectopic gestation near the right ovary, associated with three intrauterine gestational sacs with only one viable fetus. Basing on this observation, we performed an operative laparoscopy that confirmed the presence of a right ectopic abdominal pregnancy. Since the right ampullar tubal was ruptured and bleeding, we car- ried out a salpingectomy with complete removal of ectopic abdominal pregnancy. Discussion. After laparoscopic surgery, on postoperative day 1, ultrasonographic examination showed an ongoing intrauterine pre- gnancy with the two empty gestational sacs. Postoperative course was without any complications and the patient was discharged on posto- perative day 3. Gestation went on uneventfully until at term vaginal delivery.Conclusions: Laparoscopic treatment of abdominal pregnancy with an intrauterine viable pregnancy resulted safe for both mother and fetus. An adnexal mass in a pregnant patient with a history of ovulation induction might be the indicator of an heterotopic pre- gnancy.

UR - http://hdl.handle.net/10447/238381

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JO - Giornale Italiano di Ostetricia e Ginecologia

JF - Giornale Italiano di Ostetricia e Ginecologia

SN - 0391-9013

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