Spontaneous heterotopic pregnancy: a rare possibility

Authors

  • Komal N. Chavan Department of Obstetrics and Gynaecology, V. N. Desai Municipal General Hospital Santacruz, Mumbai, Maharashtra, India
  • Lalita N. Mayadeo Department of Obstetrics and Gynaecology, V. N. Desai Municipal General Hospital Santacruz, Mumbai, Maharashtra, India
  • Priya N. Sontakke Department of Obstetrics and Gynaecology, V. N. Desai Municipal General Hospital Santacruz, Mumbai, Maharashtra, India
  • Heena V. Rathod Department of Obstetrics and Gynaecology, V. N. Desai Municipal General Hospital Santacruz, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20232308

Keywords:

Heterotopic pregnancy, Extrauterine pregnancy, Exploratory laparotomy

Abstract

Heterotopic pregnancy is defined as a condition when intrauterine and extrauterine pregnancy occur simultaneously. It is a life-threatening condition that requires immediate and accurate diagnostics and treatment. We present the case of a 34-year-old multigravida in her 7 weeks of gestation came to emergency ward with complains of pain in abdomen for 3 days. Ultrasonographic examination showed a live intrauterine pregnancy and mild to moderate free fluid in abdomen with moving internal echoes. An emergency exploratory laparotomy done and left sided tubal ectopic removed along with right salpingectomy as patient was willing for family planning. A high index of suspicion is required to diagnose Heterotopic pregnancy as clinical as well as radiological findings may be insufficient for diagnosis.

Metrics

Metrics Loading ...

References

DeVoe RW, Pratt JH. Simultaneous intrauterine and extrauterine pregnancy. Am J Obstet Gynecol. 1948;56:1119-26.

Kumar R, Dey M. Spontaneous heterotopic pregnancy with tubal rupture and pregnancy progressing to term. Med J Armed Forces India. 2015;71(1):S73-5.

Oancea M, Ciortea R, Diculescu D, Poienar A, Grigore M, Lupean R et al. Spontaneous Heterotopic Pregnancy with Unaffected Intrauterine Pregnancy: Systematic Review of Clinical Outcomes. Medicina. 2020;56:665.

Avitabile NC, Kaban NL, Siadecki SD, Lewiss RE, Saul T. Two cases of heterotopic pregnancy: review of the literature and sonographic diagnosis in the emergency department. J Ultrasound Med. 2015;34(3):527-30.

Buca DIP, Murgano D, Impicciatore G. Early diagnosis of heterotopic triplet pregnancy with an intrauterine and bilateral tubal pregnancy after IVF: a case report. J Obstetr Gynaecol. 2015;35(7):755-6.

Ouyang LY, Lu GX. Value of transvaginal sonography in diagnosing heterotopic pregnancy after in-vitro fertilization with embryo transfer. Ultrasound Obstetr Gynecol. 2013;41(5):563-9.

Honglang HQ, Danqing C. Ruptured heterotopic pregnancy after assisted reproduction in a patient who underwent bilateral salpingectomy. J Obstetr Gynaecol. 2013;33(2):209-10.

Tal J, Haddad S, Gordon N, Timor-Tritsch I. Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: A literature review from 1971 to 1993. Fertil Steril. 1996;66:1-12.

Yu Y, Xu W, Xie Z, Huang Q, Li S. Management and outcome of 25 heterotopic pregnancies in Zhejiang, China. Eur J Obstet Gynecol Reprod Biol. 2014;180:157.

Nabi U, Yousaf A, Ghaffar F, Sajid S, Ahmed MMH. Heterotopic Pregnancy-A Diagnostic Challenge. Six Case Reports and Literature Review. Cureus. 2019; 11:e6080.

Rojansky N, Schenker JG. Heterotopic pregnancy and assisted reproduction-An update. J Assist Reprod Genet. 1996;13:594-601.

Shah NH, Shah RJ, Kshirsagar S. Laparoscopic management of heterotopic pregnancy in an IVF conception. Int J Reprod Contracept Obstet Gynecol. 2018;7:1255-8.

Mendivil C, Padrón R, Miranda J, Silva G. Embarazo heterotópico: diagnóstico ecográfico temprano, manejo con laparoscopia. Reporte de un caso y revisión de la literatura. Revista Colombiana de Obstetricia y Ginecología. 2011;62(1):98-103.

Cerniauskaite M, Vaigauskaite B, Ramašauskaite D, Šilkunas M. Spontaneous Heterotopic Pregnancy: Case Report and Literature Review. Medicina. 2020;56:365.

Arrocha G, Espinoza J. Embarazo heterotópico y supervivencia del producto intrauterino. Reporte de un caso y revisión de la literatura. Revista Centroamericana Obstetricia y Ginecología. 2021;25(1):12- 8.

Mendivil C, Padrón R, Miranda J, Silva G. Embarazo heterotópico: diagnóstico ecográfico temprano, manejo con laparoscopia. Reporte de un caso y revisión de la literatura. Revista Colombiana de Obstetricia y Ginecología. 2011;62(1):98-103.

Talbot K, Simpson R, Price N, Jackson S. Heterotopic pregnancy. J Obstetr Gynaecol. 2011;31(1):7-12.

Monzón C, Tejada M, Oliva G. Embarazo heterotópico espontáneo. Presentación de dos casos. Revista Peruana de Ginecología y Obstetricia. 2019;65(3):355.

Gilberto Luna Lugo. Embarazo heterotópico espontáneo en pacientes con antecedente de embarazo gemelar familiar: 2 casos. Progresos de Obstetricia y Ginecología. 2012;55(3):141-5.

Downloads

Published

2023-07-28

How to Cite

Chavan, K. N., Mayadeo, L. N., Sontakke, P. N., & Rathod, H. V. (2023). Spontaneous heterotopic pregnancy: a rare possibility. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 12(8), 2553–2555. https://doi.org/10.18203/2320-1770.ijrcog20232308

Issue

Section

Case Reports