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Volume 28, Issue 144, February 2024

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Heterotopic pregnancy (HP) is a rare condition, particularly in spontaneous pregnancies that follow assisted reproductive techniques (ART). This case report describes a 33-year-old female from Saudi Arabia, who is Gravida 2, Para 0+1. She conceived spontaneously after a history of male-factor azoospermia in her first marriage. An ultrasound examination showed the presence of two gestational sacs (GS) - one located in the uterus and the other on the left ovary, which confirmed the diagnosis of heterotopic pregnancy. The patient then underwent an exploratory laparotomy with salpingostomy, which successfully managed the ectopic pregnancy. This case highlights the challenges involved in diagnosing and managing heterotopic pregnancies, particularly in the context of previous ART.


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REVIEW

Impact of subsequent birth and delivery mode for women with previous OASIS: Systemic review

Noor H Almousa, Reem Tariq Alsubaie, Abdulelah Mohammed Khuraybah, Nawal Mohammed Alalyani

Background: For women who are of reproductive age, the most common cause of anal incontinence is obstetric anal sphincter injury (OASIS).

Medical Science, 2024, 28, e5ms3290

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CASE REPORT

Anesthetic management of a patient with a transplanted heart undergoing a cesarean section: A case report

Nasser Alabdulkarim, Abdullah AlRaffa, Usama Saleh, Rawan Alandas, Norah Almajed, Alanood Alsaleem, Nawaf Alkhudryi, Mosaad Alhussein

Background: This study was aimed to evaluate the outcomes of anesthetic management in a pregnant patient post orthotopic heart transplant secondary to dilated cardiomyopathy with severe left ventricular systolic function

Medical Science, 2024, 28, e6ms3292

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Anesthetic management and role in a patient with severe pulmonary hypertension with Eisenmenger physiology undergoing a cesarean section

Nasser Alabdulkarim, Nisar Soomro, Salaheddin Zubek, Norah Almajed, Alanood Alsaleem, Rahaf Althnayan

Objective: To elucidate the challenges associated with anesthesia and successful management strategies in a pregnant patient with severe pulmonary arterial hypertension and Eisenmenger physiology undergoing cesarean section

Medical Science, 2024, 28, e7ms3293

Abstract | PDF
Creative Commons License

© The Author(s) 2024. Open Access. This article is licensed under a Creative Commons Attribution License 4.0 (CC BY 4.0).