A rare case report on molar heterotopic pregnancy
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20243206Keywords:
Molar, Heterotopic, AmenorrhoeasAbstract
A 34 y/o G4P3L3, with 1.5 months of amenorrhoeas, presented with complaints of pain in abdomen and vaginal spotting. Patient was diagnosed as a case of heterotopic pregnancy with ruptured ectopic on USG. The patient had her left oviduct removed by means of exploratory laparotomy, followed by dilatation and evacuation of retained products of conception in the uterus. The presented case highlights the importance of meticulously performed ultrasound examination. Also, the visualization of a normal intrauterine pregnancy in the ultrasound examination does not exempt the examiner from a need of distinct imaging of the adnexa. The case also conveys the importance of histological examination of products of conception which helps to confirm an appropriate diagnosis, thereby the obstetrician can offer appropriate treatment, counselling and follow up to the patient. Early diagnosis of this pathology decreases the risk of complication incidence as well as maternal mortality.
Metrics
References
Govindarajan MJ, Rajan R. Heterotopic pregnancy in natural conception. J Hum Reprod Sci. 2008;1(1):37-8.
Hirose M, Nomura T, Wakuda K, Ishguru T, Yoshida Y. Combined intrauterine and ovary pregnancy: A case report. Asia Oceana J Obstet Gynaecol. 1994;20(1):20-5.
Peleg D, Bar-Hava, Neaman-Leaven M, Ashkena, Ben- Rafaelz J. Early diagnosis and successful non surgical treatment of viable combined intrauterine and cervical pregnancy. Fertil Steril. 1994;62(2):405.
Reece EA, Petrie RH, Sirmans MF, Finster M, Todd WD. Combined intrauterine and extrauterine gestations: a review. Am J Obstet Gynecol. 1983;146(3):323-30.
Ou YZ, Yin Q, Xu Y, Ma Y, Zhang Q, Yu Y. Heterotopic cesarean scar pregnancy: diagnosis, treatment, and prognosis. J Ultrasound Med. 2014;33(9):1533-7.
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;180:157-61.
Burton JL, Lidbury EA, Gillespif AM, Tidy JA, Smith O, Lawry J, et al. Over-diagnosis of hydatidiform in early tubal ectopic pregnancy. Histopathology. 2001;38(5):320-1.
Sherer DM, Stimphil R, Hellman M, Constantine G, Eli S, Aleksandra Z, et al. Transvaginal sonographic findings of isolated intramural uterine choriocarcinoma mimicking an interstitial pregnancy. J ultrasound Med. 2006;25(6):791-4.
Rotas M, Khulpateea N, Binder D. Gestational choriocarcinoma arising from a cornual ectopic pregnancy: a case report and review of the literature. Arch Gynecol Obstet. 2007;276(6):645-7.
Downloads
Published
How to Cite
Issue
Section
