DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20175042

Spontaneous heterotopic pregnancy with tubal rupture

Spandana J. C., Suresh S. Kanakannavar, Umashankar K. M., Manuja N.

Abstract


Heterotopic pregnancy is the coexistence of intrauterine pregnancy (IUP) and extrauterine gestation. It is a rare and dangerous life-threatening condition that is difficult to diagnose and easily missed. The incidence in the general population is estimated to be 1 in 30,000. We report a case of a 24-year-old multigravida who was seen in the emergency department with a diagnosis of a ruptured ectopic pregnancy. A careful ultrasound assessment led to the diagnosis of a heterotopic pregnancy despite lack of any notable risk factors. Immediate surgical intervention with supportive measures resulted in a successful outcome. An obstetrician should keep in mind the occurrence of a heterotopic pregnancy while dealing with pregnant females. It also demonstrates that early diagnosis is essential in order to salvage the intrauterine pregnancy and avoid maternal morbidity and mortality.


Keywords


Ectopic pregnancy, Heterotopic pregnancy, Ultrasonography

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References


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