Heterotopic pregnancy: a case report

Abstract

Heterotopic pregnancy is defined as the coexistence of intrauterine and extrauterine gestation. The incidence is low and estimated to be 1 in 30,000 of spontaneous pregnancies though it is becoming commoner with assisted reproductive technique. It can be a life-threatening condition and can be easily missed with the diagnosis being overlooked. We present a rare case of spontaneous heterotopic pregnancy with live intrauterine gestation and ruptured left adnexal gestation.

Embarazo heterotópico y Supervivencia del producto intrauterino. Reporte de un Caso y Revisión de la Literatura

“…La visualiza ción quirúrgica continúa siendo la clave en el diagnóstico del embarazo heterotópico. 15 El objetivo principal en el manejo de esta patología es ter minar el embarazo extrauterino sin afectar la gestación in trauterina viable. El manejo del embarazo heterotópico incluye varias opciones, conducta expectante, inyección guiada por ultrasonido de cloruro de potasio o glucosa hi perosmolar.…”

Fatal ruptured ectopic pregnancy – a case report

“…The intrauterine pregnancy masks any underlying b-hCG changes from the extra-uterine pregnancy and vice versa. 5 In a study, 16 (0.8%) patients were diagnosed to have ectopic pregnancy based on vaginal ultrasound findings. Most (14/16, 87%) of the patients were in second gravida or above.…”

“…The intrauterine pregnancy masks any underlying β-hCG changes from the extra-uterine pregnancy and vice versa. 5…”

Heterotopic Pregnancy: A Diagnostic Challenge - A Report of 2 Cases.

“…β-hCG is not helpful in these cases as the intrauterine pregnancy masks the changes in β-hCG due to ectopic gestational sac. 9 A careful TVS and a close follow up may solve the dilemma in most of the cases. It is prudent to use laparoscopy if the diagnosis remains uncertain despite follow up imaging.…”

“…The uterus needs to be handled with extra caution in these patients as the intrauterine pregnancy may be precious. 9 With early diagnosis and prompt management, a significant proportion of intrauterine pregnancies in such cases will reach to term.…”