Heterotopic pregnancy: a case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20253550Keywords:
Heterotopic pregnancy, Intrauterine pregnancy, Ectopic pregnancy, Ultrasound scan, β-hCGAbstract
Heterotopic pregnancy is a potentially life-threatening condition if left undiagnosed. Early pregnancy ultrasound is a key diagnostic tool in all symptomatic cases or where there are risk factors and clinical suspicion. Multi-professional discussion is essential in decision making. As this patient miscarried the intrauterine pregnancy, and the ectopic pregnancy appeared to be resolving spontaneously, no further laparoscopic intervention was required. Only monitoring β-hCG levels till it reached the non-pregnant levels helped to confirm complete resolution.
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References
Elson CJ, Salim R, Potdar N, Chetty M, Ross JA, Kirk EJ. Diagnosis and Management of Ectopic Pregnancy Green-top Guideline No.21 RCOG/AEPU Joint Guideline | November 2016. Diagnosis and management of ectopic pregnancy. BJOG. 2016;123:15-55. DOI: https://doi.org/10.1111/1471-0528.14189
Radiopaedia. Heterotopic Pregnancy. Available at: https://radiopaedia.org/articles/heterotopic-pregnancy?lang=gb. Accessed on 1 February 2025.
ISUOG. The diagnostic value of transvaginal sonography in heterotopic pregnancy after in vitro fertilisation and embryo transfer. Available at: https://www.isuog.org/resource/congress-montreal-diagnostic-value-of-transvaginal-sonography-in-heterotopic-pregnancy-after-in-vitro-fertilisation-and-embryo-transfer.html. Accessed on 1 February 2025.
Ibn HK, Bouazzaoui M, El A, Mohammed K, Khalid M. Heterotopic pregnancy: A diagnosis we should suspect more often. J Emer Trauma Shock. 2010;3(3):304. DOI: https://doi.org/10.4103/0974-2700.66563
Lamrissi A, Antaky R, Mourabbih M, Jalal M, Fichtali K, Bouhya S. Heterotopic pregnancy: Five case reports diagnosed in 2021. Int J Surg Case Rep. 2022;95:107186. DOI: https://doi.org/10.1016/j.ijscr.2022.107186
Elsayed S, Farah N, Anglim M. Heterotopic pregnancy: case series and review of diagnosis and management. Case Rep Obstet Gynecol. 2023:2023:2124191. DOI: https://doi.org/10.1155/2023/2124191
Kajdy A, Muzyka-Placzyńska K, Filipecka-Tyczka D, Modzelewski J, Stańczyk M, Rabijewski M. A unique case of diagnosis of a heterotopic pregnancy at 26 weeks-case report and literature review. BMC Pregnancy Childbirth. 2021;21(1):61. DOI: https://doi.org/10.1186/s12884-020-03465-y
Harzif AK, Hyaswicaksono P, Kurniawan RH, Wiweko B. Heterotopic pregnancy-diagnosis and pitfall in ultrasonography. Gynecol Minim Invasive Ther. 2021;10(1):53-6. DOI: https://doi.org/10.4103/GMIT.GMIT_92_19