VP01.22: Cramp‐like abdominal pain: a light symptom, a big problem!

A 32-year-old woman nullipara at 8 weeks of gestation presented with moderate cramping abdominal pain and light metrorrhagia. Her obstetric history was significant for IVF. On examination, her vital signs were within normal limits she demonstrated only on deep palpation in lower quadrants. blood test compatible the gestational age. transvaginal ultrasound performed showed: intrauterine pregnancy cardiac activity two enlarged ovaries, stimulation (figure 1). We scheduled an early recheck 10 days after radiology trans ultrasound. Heterotopic pregnancy. Ultrasonography showed a live fetus 11 additional left-sided adnexal extrauterine pregnancy, both (figures 2, 3). The patient underwent laparoscopic salpingectomy progressed without problems 4, 5). is defined by presence It extremely rare absence risk factors, any assisted reproduction, rates increase to range 1 100 500. (1,2) Early diagnosis often challenging because clinical symptoms (3), size stimulated ovaries bigger than (average measures 40 × 30 20 mm fertile women) follicles are very vascularised grown up (4).These patients require pelvic ultrasonography follow-up, like our case, definitively exclude heterotopic Please note: publisher not responsible content or functionality supporting information supplied authors. Any queries (other missing content) should be directed corresponding author article.