Journal of Clinical Case Reports

Ioannis P Kosmas

Publications

• Case Report
  Case Report of Combined Twin Tubal and Intrauterine Pregnancies
  Author(s): Ospan A Mynbaev, Artur K Khachatryan, Ioannis P Kosmas, Marina Yu Eliseeva, A Khachatryan, Antonio Malvasi and Andrea TinelliOspan A Mynbaev, Artur K Khachatryan, Ioannis P Kosmas, Marina Yu Eliseeva, A Khachatryan, Antonio Malvasi and Andrea Tinelli
  
  Case of heterotopic quadruplet pregnancy with coexistence of tubal and intrauterine twins. Objective (s): To present the case heterotopic quadruplet pregnancy with coexistence of tubal and intrauterine twins and its successful surgical management with brief literature review. Design: A case report supplemented with brief literature review and discussion. Setting: City clinical university hospital. Patient (s): Heterotopic quadruplet pregnancy with tubal and intrauterine twins in a 31-year-old woman after natural conception. Intervention (s): Laparoscopy, adhesiolisys, aspiration of tubal embryos through tubotomy and cervical dilatation and vacuum aspiration of intrauterine embryos as well as vaginal and intraoperative laparoscopic ultrasound examination. Main outcome measure (s): Physical examination, laparoscopy and postsurgical hCG serum assay, as well as preintra- and postoperative.. Read More»
  DOI: 10.4172/2165-7920.1000242

  Abstract PDF