Double Trouble

Female Reproductive System & Breast

{"ops":[{"insert":"Ruptured corpus luteum cyst"},{"insert":"\n","attributes":{"header":1}},{"insert":"Rupture of a corpus luteum cyst during pregnancy may result in clinical and sonographic findings which mimic an extrauterine pregnancy.\n\nThis most often occurs between 30 to 60 days following the last menstrual period (LMP).\n\nIn such patients, a doppler ultrasound scan will reveal the presence of a thicker, more echogenic wall with increased vascularity.\n"},{"insert":"Heterotopic pregnancy"},{"insert":"\n","attributes":{"header":1}},{"insert":"A heterotopic pregnancy is the simultaneous presence of both intrauterine and extrauterine gestations.\n\nHeterotopic pregnancies are extremely rare under normal circumstances, with an incidence of less than 1 in 30,000 pregnancies.\n\nHowever, the condition is far more common in women who have undergone in-vitro fertilization, occurring in as many as 1 in 500 to 1 in 100 pregnancies. Thus, a high index of suspicion is essential in these patients.\n\nOther known risk factors include tubal surgery, previous ectopic pregnancies, pelvic inflammatory disease, and tubal malformations.\n\nUltrasound imaging is a key element of the diagnostic workup in these patients. However, sonographic appearances may be inconclusive; in particular, an ectopic pregnanc"}]}

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