title: Hemorrhagic heterotopic pregnancy in a setting of prior tubal ligation and re-anastomosis.
abstract: Heterotopic pregnancy is the occurrence of simultaneous intrauterine and extrauterine pregnancies. Heterotopic pregnancy most commonly occurs during the first trimester of pregnancy in women who have significant risk factors including assisted reproductive therapy, prior ectopic pregnancy, and prior pelvic surgery or pelvic inflammatory disease. Although rare, heterotopic pregnancy must be recognized using ultrasound so as to provide appropriate treatment to the extrauterine pregnancy with the goal of preserving the intrauterine pregnancy. The case presented describes a patient with a pathologically proven (figure 8A and 8B), surgically treated 1st trimester heterotopic pregnancy.
authors.affiliation: Department of Radiology, MetroHealth System, Cleveland, Ohio, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Esterle
authors.affiliation: Department of Radiology, MetroHealth System, Cleveland, Ohio, USA.
authors.forename: Jill
authors.initials: J
authors.lastname: Schieda
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D063192:Pregnancy, Heterotopic / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D012307:Risk Factors; D013243:Sterilization Reversal; D013246:Sterilization, Tubal; D016216:Ultrasonography, Prenatal
keywords: Ectopic pregnancy; Extrauterine pregnancy; Heterotopic pregnancy; High risk pregnancy; Miscarriage; Spontaneous abortion