A rare case of spontaneous heterotopic pregnancy presented as ruptured ectopic pregnancy

Authors

  • Amita Yadav Department of Obstetrics and Gynaecology, Moti Lal Nehru Medical College, Allahabad, UP, India
  • Preeti Yadav Department of Obstetrics and Gynaecology, Moti Lal Nehru Medical College, Allahabad, UP, India
  • Veena Gupta Department of Obstetrics and Gynaecology, Moti Lal Nehru Medical College, Allahabad, UP, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20161720

Keywords:

Heterotopic pregnancy, Ectopic pregnancy

Abstract

Heterotopic gestation, although common with assisted reproductive techniques, is very rare in natural conception. A high index of suspicion can help in timely diagnosis and appropriate intervention. We report a case of 30 year old patient who was treated for a heterotopic pregnancy. She had taken treatment for genital tuberculosis in the past. The patient presented acutely with a ruptured tubal pregnancy in shock and this was managed by emergency laparotomy. 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.

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Published

2017-01-05

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Section

Case Reports