Heterotopic pregnancy: a catastrophic event
Keywords:
Adnexal mass, Assisted conception, HeterotopicAbstract
Heterotopic gestation, although common with assisted reproductive techniques, is very rare in natural conception. A high index of suspicion can help in timely diagnosis and appropriate intervention. We report a case of heterotopic pregnancy in a 25-year-old woman presenting with hemoperitoneum from ruptured tubal pregnancy with live intrauterine gestation at 12 weeks of amenorrhea, diagnosed on ultrasound examination.
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References
Lyons EA, Levi CS, Sidney M. In: Dashefsky in diagnostic ultrasound. 2nd ed. Rumak CM, Wilson SR, Charboneau WK, editors. Volume 2. Mosby; 1998. p. 999.
Glassner MJ, Aron E, Eskin BA. Ovulation induction with clomiphene and the rise in heterotopic pregnancies: A report of two cases. J Reprod Med. 1990;35:175-8.
Gruber I, Lahodny J, Illmensee K, Losch A. Heterotopic pregnancy: Report of three cases. Wien Klin Wochenschr. 2002;114:229-32.
Ectopic Pregnancy, text book of -Williams Obstetrics. 21st ed. Multifetal Ectopic Pregnancy in Chapter 34; pp. 888-9.
Cheng PJ, Chueh HY, Qiu JT. Heterotopic pregnancy in a natural conception cycle presenting as haematomatra. Obstet Gynecol. 2004;104:195-8.
Hirose M, Nomura T, Wakuda K, Ishguro T, Yoshida Y. Combined intrauterine and ovary pregnancy: A case report. Asia Ocaena J Obstet Gynaecol. 1994;20:25.
Peleg D, Bar-Hava I, Neaman-Leavin M, Ashkena , Ben-Rafaelz IJ. Early diagnosis and successful non surgical treatment of viable combined intrauterine and cervical pregnancy. Fertil Steril. 1994;62:405.
Alsunaidi MI. An unexpected spontaneous triplet heterotopic pregnancy. Saudi Med J. 2005;26:136-8.
Sherer DM, Scibetta JJ, Sanko SR. Heterotopic quadruplet gestation with laparoscopic resection of ruptured interstitial pregnancy and subsequent successful outcome of triplets. Am J Obstet Gynecol. 1995;172:216.
Sohail S. Haemorrhagic corpus luteum mimicking heterotopic pregnancy. J Coll Physicians Surg Pak. 2005;15:180-1.
Espinosa PM, Alcantar Mendoza MA. Heterotopic pregnancy: Report of a case and review of literature. Ginecol Obstet Mex. 1997;65:482-6.
