Today i did a laparotomy ( any operation for which you need to open up the abdomen is termed laparotomy ) the indication is .........yes you are right (no prize for guessing )....Heterotypic pregnancy...........
Heterotypic pregnancy is actually a twin pregnancy , one inside uterus and the other being outside uterus...most commonest site being the tubes. it is actually a very rare condition........if you want the statistic its 1 in 30,000.........pretty rare huh.....thank god for it being rare.......but as always we being the spoil sport are making it happen more often . as we are trying to gift babies to infertile couples we are also increasing its incidence. it can be as common as 1 in 900 in case of ovulation induction.
in my patient though it was nothing of that sort.she had an abnormality of the uterus.....she had bicornuate uterus....if i am successful it putting a picture in this blog than you can see that a normal uterus has a single cavity.but in this particular patient she had two cavities in her uterus. she had a normal pregnancy in her right uterine cornu and a left sided ectopic pregnancy. she also has a child of 3 years which she had delivered normally.
this type of condition is particularly confusing with ruptured corpus luteal cyst of pregnancy (about which i will discuss some other time ). it can only be differentiated properly by Histopathological examination of the dissected tissue.
to diagnose it ...a high degree of suspicion is necessary .the lady usually presents with a short period of amenorrhea , followed by symptoms of ectopic pregnancy......such as bleeding vaginally severe pain abdomen as the ectopic pregnancy ruptures and fainting as severe intra abdominal bleeding ensues. the bleeding can be very severe at times so as to endanger ones life.the uterine pregnancy usually does not give rise to any problem but most of the time ends as missed abortion.
one diagnostic tool which comes in handy is ultrasonography as it can visualize both pregnancies properly(in case of my patient both the pregnancies was alive even when the tubes had ruptured . the placenta got hold of near by organs and was feeding from them)
regarding management of this condition its nothing but laparotomy . the ectopic pregnancy has to be removed and bleeding has to be stopped.
pregnancy is the most natural phenomenon that can happen to a lady...but when there is deviation the result can be devastating. the only way to diagnose it before catastrophe strikes is to do an ultrasonography before you miss the second period.
i think i have written enough on heterotypic pregnancy....till i blog again stay well and be healthy.
Heterotypic pregnancy is actually a twin pregnancy , one inside uterus and the other being outside uterus...most commonest site being the tubes. it is actually a very rare condition........if you want the statistic its 1 in 30,000.........pretty rare huh.....thank god for it being rare.......but as always we being the spoil sport are making it happen more often . as we are trying to gift babies to infertile couples we are also increasing its incidence. it can be as common as 1 in 900 in case of ovulation induction.
in my patient though it was nothing of that sort.she had an abnormality of the uterus.....she had bicornuate uterus....if i am successful it putting a picture in this blog than you can see that a normal uterus has a single cavity.but in this particular patient she had two cavities in her uterus. she had a normal pregnancy in her right uterine cornu and a left sided ectopic pregnancy. she also has a child of 3 years which she had delivered normally.
this type of condition is particularly confusing with ruptured corpus luteal cyst of pregnancy (about which i will discuss some other time ). it can only be differentiated properly by Histopathological examination of the dissected tissue.
to diagnose it ...a high degree of suspicion is necessary .the lady usually presents with a short period of amenorrhea , followed by symptoms of ectopic pregnancy......such as bleeding vaginally severe pain abdomen as the ectopic pregnancy ruptures and fainting as severe intra abdominal bleeding ensues. the bleeding can be very severe at times so as to endanger ones life.the uterine pregnancy usually does not give rise to any problem but most of the time ends as missed abortion.
one diagnostic tool which comes in handy is ultrasonography as it can visualize both pregnancies properly(in case of my patient both the pregnancies was alive even when the tubes had ruptured . the placenta got hold of near by organs and was feeding from them)
regarding management of this condition its nothing but laparotomy . the ectopic pregnancy has to be removed and bleeding has to be stopped.
pregnancy is the most natural phenomenon that can happen to a lady...but when there is deviation the result can be devastating. the only way to diagnose it before catastrophe strikes is to do an ultrasonography before you miss the second period.
i think i have written enough on heterotypic pregnancy....till i blog again stay well and be healthy.
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