A rare case of spontaneous heterotopic pregnancy with successful pregnancy outcome following laparoscopic management of coexisting ruptured tubal pregnancy in Non-ART set up

Authors

  • G. D. Maiti Department of Obstetrics and Gynaecology, Command Hospital (EC), WBUHS, Kolkata, West Bengal, India
  • Tony Jose Department of Obstetrics and Gynaecology, Command Hospital (EC), WBUHS, Kolkata, West Bengal, India
  • Shilpa Gupta Department of Obstetrics and Gynaecology, Command Hospital (EC), WBUHS, Kolkata, West Bengal, India
  • Vibhu Chatterjee Department of Obstetrics and Gynaecology, Command Hospital (EC), WBUHS, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20182381

Keywords:

Heterotopic pregnancy, Laparoscopic management

Abstract

Heterotopic pregnancy is a rare clinical condition where both intrauterine (IU) and extra uterine pregnancy coexists. In a non-ART set up diagnosis of tubal ectopic pregnancy becomes challenging and difficult with coexisting intrauterine viable pregnancy, even when presents with ruptured form. Author is presenting one of his challenging experience in managing successfully such type of heterotopic ruptured tubal pregnancy in first trimester where extra uterine ruptured tubal pregnancy was addressed by laparoscopic salpingectomy under spinal anaesthesia with minimal uterine manipulation to continue intrauterine pregnancy till term and thus had a successful pregnancy outcome.

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Published

2018-05-26

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Section

Case Reports