Acute presentation of a heterotopic pregnancy following spontaneous conception: a case report
نویسندگان
چکیده
Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extra uterine pregnancies occur at the same time. It can be a life threatening condition and can be easily missed with the diagnosis being overlooked. We present the case of a 40 year old patient who was treated for a heterotopic pregnancy. She had a transvaginal ultrasound because of a previous ectopic pregnancy and an intrauterine gestational sac was seen with false reassurances. The patient presented acutely with a ruptured tubal pregnancy and this was managed laparoscopically. The ectopic pregnancy was not suspected at her initial presentation. A high index of suspicion is needed in women with risk factors for an ectopic pregnancy and in low risk women who have free fluid with or without an adnexal mass with an intrauterine gestation.
منابع مشابه
Spontaneous Heterotopic Pregnancy after Four Previous Caesarean Sections: Successful Salpingectomy and Inta-Uterine Term Pregnancy
Heterotopic pregnancy is rare under natural circumstance (conception). We report the first case of heterotopic pregnancy in spontaneous conception with four previous caesarean sections and ruptured tubal ectopic with resultant successful normal intra-uterine pregnancy delivered at term after salpingectomy. A 32-year-old gravida 5 para 4+0 with 3 living children, with 4 previous caesarean sectio...
متن کاملHeterotopic pregnancy in a spontaneous conception presenting as a complex adnexal mass
Heterotopic pregnancy (HP), although common with assisted reproductive techniques, is very rare in spontaneous conceptions. We report the case of a HP in a 41-year-old lady who presented to us with a viable intrauterine pregnancy and an adnexal mass. The ectopic pregnancy was not suspected at her initial presentation. Although cases of HP presenting with ruptured ectopic pregnancy have been rep...
متن کاملHeterotopic Pregnancy after Assisted Reproductive Techniques
Heterotopic pregnancy (HP) is the simultaneous occurrence of intra- and extrauterine pregnancies. It is a rare event in spontaneous pregnancies with an incidence of less than 1:15000 however the frequency has increased to 1% in accordance with the widespread use of assisted reproductive techniques (ART). The pre-operative diagnosis of this condition is generally difficult and it would be life t...
متن کاملOvarian torsion in a heterotopic pregnancy: a case report
Background and Aim: Ovarian torsion is one of the rare causes of emergency surgeries during pregnancy. Heterotopic pregnancy is a rare type of pregnancy characterized by embryo implantation in two different locations. occurence of these two complications at the same time is a very rare condition. In this study, we present a rare case of heterotopic pregnancy accompanied by ovarian torsion. Pat...
متن کاملSpontaneous Heterotopic Triplet Pregnancy With Tubal Rupture
The recent increase in heterotopic pregnancies has been largely attributed to the increased use of assisted reproduction technologies. We report the rare case of a multiparous woman with a spontaneous conception resulting in a triplet heterotopic pregnancy: a twin intrauterine pregnancy and a single right tubal ectopic pregnancy. Heterotopic pregnancy is a rare and potentially life-threatening ...
متن کامل