Spontaneous Heterotopic Pregnancy: Case Report and Literature Review
Abstract
Heterotopic pregnancy, a rare form of pregnancy, can occur Simultaneously intrauterine and extrauterine. This can be a life-threatening condition and can be easily overlooked if undiagnosed. The patient was a 27-year-old woman, gravid3, para1, live1 and abortion1, at 10 weeks and 1 day by last menstrual period who went to the emergency room complaining of pain in the lower abdomen form 3 days ago. Pelvic ultrasound revealed both live intrauterine and extrauterine pregnancy by gestational age based on the Crown-rump length diameter, 9 weeks and 3 days with moderate to severe hemoperitoneum. The heterotopic pregnancy diagnosis is difficult and requires a high index of suspicion.
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2. Chin HY, Chen FP, Wang CJ, Shui LT, Liu YH, Soong YK. Heterotopic pregnancy after in vitro fertilization–embryo transfer. Int J Gynaecol Obstet 2004;86:411-6.
3. Reece EA, Petrie RH, Sirmans MF, Finster M, Todd WD. Combined intrauterine and extrauterine gestations: a review. Am J Obstet Gynecol 1983;146:323-30.
4. Uysal F, Uysal A, Oztekin DC, Avcı MS. Heterotopic quadruplet pregnancy and successful twin outcome. Arch Gynecol Obstet 2013;288:715-7.
5. Liu M, Zhang X, Geng L, Xia M, Zhai J, Zhang W, et al. Risk Factors and Early Predictors for Heterotopic Pregnancy after In Vitro Fertilization. PLoS One 2015;10:e0139146.
6. Martin JK, Gala RB. Adnexal Mass in a Spontaneous Pregnancy Diagnosed as Heterotopic Pregnancy at the Time of Cesarean Delivery. Ochsner J 2015;15:265-7.
7. Kumar R, Dey M. Spontaneous heterotopic pregnancy with tubal rupture and pregnancy progressing to term. Med J Armed Forces India 2015;71:S73-5.
8. Hassani KIM, Bouazzaoui AE, Khatouf M, Mazaz K. Heterotopic pregnancy: A diagnosis we should suspect more often. J Emerg Trauma Shock 2010;3:304.
9. Govindarajan MJ, Rajan R. Heterotopic pregnancy in natural conception. J Hum Reprod Sci 2008;1:37-8.
10. Cheng PJ, Chueh HY, Qiu JT. Heterotopic pregnancy in a natural conception cycle presenting as hematometra. Obstet Gynecol 2004;104:1195-8.
11. Goldstein JS, Ratts VS, Philpott T, Dahan MH. Risk of surgery after use of potassium chloride for treatment of tubal heterotopic pregnancy. Obstet Gynecol 2006;107:506-8.
12. Barrenetxea G, Barinaga-Rementeria L, Lopez de Larruzea A, Agirregoikoa JA, Mandiola M, Carbonero K. Heterotopic pregnancy: two cases and a comparative review. Fertil Steril 2007;87:417.e9-15.
2. Chin HY, Chen FP, Wang CJ, Shui LT, Liu YH, Soong YK. Heterotopic pregnancy after in vitro fertilization–embryo transfer. Int J Gynaecol Obstet 2004;86:411-6.
3. Reece EA, Petrie RH, Sirmans MF, Finster M, Todd WD. Combined intrauterine and extrauterine gestations: a review. Am J Obstet Gynecol 1983;146:323-30.
4. Uysal F, Uysal A, Oztekin DC, Avcı MS. Heterotopic quadruplet pregnancy and successful twin outcome. Arch Gynecol Obstet 2013;288:715-7.
5. Liu M, Zhang X, Geng L, Xia M, Zhai J, Zhang W, et al. Risk Factors and Early Predictors for Heterotopic Pregnancy after In Vitro Fertilization. PLoS One 2015;10:e0139146.
6. Martin JK, Gala RB. Adnexal Mass in a Spontaneous Pregnancy Diagnosed as Heterotopic Pregnancy at the Time of Cesarean Delivery. Ochsner J 2015;15:265-7.
7. Kumar R, Dey M. Spontaneous heterotopic pregnancy with tubal rupture and pregnancy progressing to term. Med J Armed Forces India 2015;71:S73-5.
8. Hassani KIM, Bouazzaoui AE, Khatouf M, Mazaz K. Heterotopic pregnancy: A diagnosis we should suspect more often. J Emerg Trauma Shock 2010;3:304.
9. Govindarajan MJ, Rajan R. Heterotopic pregnancy in natural conception. J Hum Reprod Sci 2008;1:37-8.
10. Cheng PJ, Chueh HY, Qiu JT. Heterotopic pregnancy in a natural conception cycle presenting as hematometra. Obstet Gynecol 2004;104:1195-8.
11. Goldstein JS, Ratts VS, Philpott T, Dahan MH. Risk of surgery after use of potassium chloride for treatment of tubal heterotopic pregnancy. Obstet Gynecol 2006;107:506-8.
12. Barrenetxea G, Barinaga-Rementeria L, Lopez de Larruzea A, Agirregoikoa JA, Mandiola M, Carbonero K. Heterotopic pregnancy: two cases and a comparative review. Fertil Steril 2007;87:417.e9-15.
| Files | ||
| Issue | Vol 61 No 8 (2023) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/acta.v61i8.14906 | |
| Keywords | ||
| Ectopic pregnancy Heterotopic pregnancy Abdominal pain Natural conception | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Behforouz A, Abbasi H. Spontaneous Heterotopic Pregnancy: Case Report and Literature Review. Acta Med Iran. 2024;61(8):482-484.
