Heterotopic Pregnancy in a Natural Conception Cycle Presenting as Hematometra

Abstract

Women with intrauterine fluid accumulation during pregnancy may be at risk for coexistent ectopic pregnancy. High resolution transvaginal color Doppler sonography may be useful to identify a heterotopic pregnancy preoperatively.

Heterotopic pregnancy: a catastrophic event

“…5 Most commonly, the location of ectopic gestation in a heterotopic pregnancy is the fallopian tube, which was in our case. However, cervical and ovarian heterotopic pregnancies have also been reported.…”

Heterotopic triplet gestation in natural conception following an IVF cycle: a rare case report

“…8 Heterotopic gestation can also present as haematometra and lower abdominal pain in early gestation or may rarely be asymptomatic. [9][10][11] Majority of reported heterotopic pregnancies are singleton intrauterine pregnancies. Triplet and quadruplet heterotropic pregnancies have also been reported though the incidence is very rare.…”

A Rare Case of Heterotopic Pregnancy with Ruptured Left Rudimentary Horn Pregnancy

“…The most common combination is an intrauterine and an extra uterine gestation, most of which are in the tube (90%), but implantation in the cervix, ovary, interstitial segment, abdomen, and previous caesarean scar have been reported [1]. The incidence of HP is approximately 1 in 3,900 pregnancies [2]. The incidence has risen substantially due to increasing use of exogenous gonadotropins and assisted reproductive technique (ART) and is about 1.5/1000 pregnancies resulting from ART [3].…”