Spontaneous heterotopic pregnancy leading to intrauterine abortion and subsequent ruptured ectopic pregnancy with a betahCG of 125 mlu/ml: a case report.

A case of heterotopic pregnancy after spontaneous conception with abortion of the intrauterine pregnancy and subsequent rupture of the ectopic pregnancy is presented. A 34-year-old woman at five weeks of gestation presented with a ruptured ectopic pregnancy after spontaneous abortion of an intrauterine pregnancy with mIU/ml beta3hCG as low as 125 mIU/ml. Close monitoring of betahCG and careful ultrasound examination together with patient consultation are extremely important in the management of heterotopic pregnancy, especially in cases of diagnostic uncertainness.

Comparison of abdominal and vaginal hysterectomy. Study of complications.

Background: To compare patent characteristics, diagnoses and complications associated with vaginal or abdominal hysterectomy in the last two decades.

Study Design: From 1974 to 1994, 6,420 women were included in the study. Complications were classified in two categories: intraoperative and postoperative, and psychosexual complications.