A 35 year-old woman at 7-week gestational age was referred to our hospital. The patient was diagnosed with the heterotopic interstitial pregnancy by transvaginal ultrasonography after receiving in vitro fertilization (IVF) and embryo transfer. Laparoscopic excision and curettage was successfully performed at 8.4-gestational age under general anesthesia and the patient was discharged 2 days afte...

Vaginal bleeding in early pregnancy is a common emergency department complaint. Point-of-care ultrasound is a useful tool to evaluate for intrauterine ectopic pregnancy. Emergency physicians performing these studies need to be cognizant of artifacts produced by ultrasound technology, as they can lead to misdiagnosis. We present two cases where mirror-image artifacts initially led to a concern f...

Heterotopic pregnancy represents an unusual affection characterized by the coexistence of both intra and extra-uterine pregnancy in the same patient. We report a case study occurred in a 32 years old woman and revealed by a clinical table of abdominal mass syndrome. She was requested an ultrasound that allowed the diagnosis of a delayed abdominal pregnancy, but did not show the intra-uterine ge...

The presentation of acute abdominal pain in young women is not an unusual occurrence in casualty and gynaecology departments. Both acute appendicitis and ectopic pregnancy have to be considered and investigated, as these two conditions are accepted as the most common surgical causes of an acute abdomen. Difficulties in correctly identifying the cause of the pain can be hazardous to the patient ...

We present the case of a woman who sought pregnancy termination but who, in the interval between consultation and surgical termination, presented with clinical signs of a ruptured ectopic pregnancy. This was managed as such, but post-operative follow-up soon revealed that she also carried a viable intrauterine pregnancy.

Triplet heterotopic pregnancy refers to the presence of specifically 3 concurrent gestations with at least 1 being abnormally implanted. Heterotopic is rare and estimated occur in about per 30,000 spontaneous pregnancies while a higher prevalence may assisted reproduction techniques that reach up case 100 some literatures. The triplet are often association risk factors, as tubal factor infertil...