The Evil Twin: The Case of Heterotopic Pregnancy

Authors

Rashmi Jadhav, HCA HealthcareFollow
Vegas Brown, HCA HealthcareFollow
Gabriel Cabrera, HCA HealthcareFollow

Files

Division

West Florida

Hospital

Brandon Regional Hospital

Specialty

Emergency Medicine

Document Type

Poster

Publication Date

5-2020

Keywords

Heterotopic Pregnancy, Ectopic, Pregnancy

Disciplines

Emergency Medicine | Female Urogenital Diseases and Pregnancy Complications | Obstetrics and Gynecology | Reproductive and Urinary Physiology

Abstract

• Heterotopic pregnancy occurs in about 1 in 30,000 naturally conceived pregnancies (5). The risk rises 1-3% for pregnancies occurring through assisted reproductive technologies (ART) (1).
• Isolated ectopic pregnancy affects an average of 1 in every 150 live births (1).
• A known pre-existing intrauterine pregnancy (IUP) can be falsely reassuring and delay the diagnosis of a potentially life-threatening concurrent ectopic pregnancy.
• Presentation is vague and 45% of patients have no symptoms (5).
• Differential Diagnoses: endometritis, incomplete miscarriage, ruptured ovarian cyst, non-GYN cause (ie: appendicitis or UTI).
• Risk Factors: Infertility treatment, in vitro fertilization (IVF), prior ectopic, prior tubal surgery, use of IUD, smoking (1).
• These patients are more likely to have spontaneous or medically induced abortions, and are 30% less likely to have live-birth delivery.
• Laparoscopy or laparotomy are standard of care. They carry a 58-70% success rate of parturition for the IUP (1).

Recommended Citation

Jadhav, Rashmi; Brown, Vegas; and Cabrera, Gabriel, "The Evil Twin: The Case of Heterotopic Pregnancy" (2020). West Florida Division GME Research Day 2020. 41.
https://scholarlycommons.hcahealthcare.com/westflorida2020/41