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Laparoscopic Salpingectomy for Heterotopic Pregnancy:

Authors: IMARALU John

Publication Type: Journal article

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Abstract

Background: Heterotopic pregnancy in a spontaneous conception is a rare and life-threatening condition. With its high rate of twin gestation and ectopic pregnancy, a country such as Nigeria might be expected to have a higher incidence of heterotopic pregnancy. The use of laparoscopic surgery in the management of heterotopic pregnancy has been widely reported, but none has been documented in Nigeria. Case: This report presents a 24-year-old G3,P1011 admitted with severe right iliac fossa pain in pregnancy at 13 weeksâ€™ gestation, with stable vital signs. An ultrasound scan revealed a normal intrauterine pregnancy with a heterogeneous right adnexal mass; hence, a right ovarian cyst accident in pregnancy was suspected. Emergency laparoscopy, however, revealed a slow leaking right ampullary tubal pregnancy coexisting with a normal intrauterine gestation. The patient underwent a laparoscopic right salpingectomy with continuation of the intrauterine pregnancy. Results: The pregnancy had progressed to 21 weeksâ€™ gestation when this case report was written. Conclusions: Spontaneous heterotopic pregnancy is usually misdiagnosed, possibly because it is a very rare condition. Laparoscopic surgery isthe preferred mode of management, although not well-established in resource-poor settings. This case is therefore presented to demonstrate that, with appropriate adaptation and improvisation, laparoscopic management of heterotopic pregnancy can be safely accomplished even in a resource-poor setting, with a satisfactory outcome. (J GYNECOL SURG 29:96)

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IMARALU,J. . (0000). Laparoscopic Salpingectomy for Heterotopic Pregnancy:, 0 (), 0-0.

IMARALU,J. . "Laparoscopic Salpingectomy for Heterotopic Pregnancy:" 0, no (), (0000): 0-0.

IMARALU,J. and . (0000). Laparoscopic Salpingectomy for Heterotopic Pregnancy:, 0 (), pp0-0.

IMARALUJ, . Laparoscopic Salpingectomy for Heterotopic Pregnancy:. 0000, 0 ():0-0.

IMARALU,John , . "Laparoscopic Salpingectomy for Heterotopic Pregnancy:", 0 . (0000) : 0-0.

I.John , "Laparoscopic Salpingectomy for Heterotopic Pregnancy:" vol.0, no., pp. 0-0, 0000.

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