Spontaneous Heterotopic Pregnancy: A Case Report.

JNMA J Nepal Med Assoc

Department of Obstetrics and Gynaecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

Published: December 2023

AI Article Synopsis

  • Spontaneous heterotopic pregnancy is a rare and potentially life-threatening condition where two pregnancies occur simultaneously, with one in the uterus and at least one in another location.
  • The condition has a low incidence of about 1 in 30,000 natural conceptions, making it difficult to diagnose due to complex symptoms and lab results.
  • A case report highlights a successful diagnosis and treatment of a 28-year-old woman with heterotopic pregnancy via ultrasound and laparoscopic surgery, allowing her intrauterine pregnancy to continue normally until term.

Article Abstract

Unlabelled: Spontaneous heterotopic pregnancy is a rare clinical condition which is a potentially dangerous condition where at least two pregnancies are present simultaneously at different implantation sites and only one is located in the intrauterine cavity. It is a life-threatening condition with an incidence estimated as 1 in 30,000 natural conceptions. Being rare it's challenging to diagnose such conditions due to complex clinical and laboratory findings. In view of the survival of maternal as well as intrauterine pregnancy, a high index of suspicion leading to timely diagnosis and appropriate intervention is needed. We are reporting a case of a 28-year-old female with heterotopic pregnancy at 8 weeks of gestation following natural conception diagnosed by ultrasound and managed successfully by laparoscopic salpingectomy. Intrauterine pregnancy was continued normally till term with no complications. Hence, with timely diagnosis and early intervention, maternal and fetal survival is possible.

Keywords: case reports; ectopic pregnancy; laparoscopy; ultrasound.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10792723PMC
http://dx.doi.org/10.31729/jnma.8374DOI Listing

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Article Synopsis
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  • * The results showed similar rates of live births and early miscarriages among the expectant management group, the eutopic group, and the surgical group, indicating that expectant management may be a viable option for patients with heterotopic pregnancies.
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