Journal of Pharmaceutical and Biomedical Sciences

Login
Select Language
Subscription Login to verify subscription
Give a gift subscription
Article Tools
Print this article
Indexing metadata
How to cite item
Finding References
Review policy
Email this article (Login required)
Email the author(Login required)
Post a Comment (Login required)

Heterotopic Pregnancy in Natural Conception: A Rare Clinical Entity

Sujatha MS, Suma KB, Poornima M, Shashikala G, Sowmya shree, Surakshith L Gowda, Divyasree B, Heman thamani

Abstract


Spontaneous heterotopic pregnancy is a rare condition in a natural cycle without any risk
factors and it is difficult to assess as pain and bleeding might be attributed to threatened
abortion also. We are reporting a case of spontaneous heterotopic pregnancy in a natural
cycle which was missed in the initial transvaginal scan and was reported to be an intrauterine
pregnancy which later presented with clinical features of ruptured ectopic pregnancy.
So, if assisted reproduction technique (ART) is not involved, the index of suspicion
of a heterotopic pregnancy is usually very low and can cause more serious complications
as diagnosis may be delayed.

Keywords


heterotopic pregnancy, threatened abortion, transvaginal ultrasound, ectopic pregnancy

Full Text:

References


Kamath MS, Aleyamma TK, Muthukumar K, Kumar RM, George K. A rare case report: ovarian heterotopic pregnancy after in vitro fertilization. Fertil Steril. 2010;94(5):1910.e9–1910.e11.

Basile F, Di Cesare C, Quagliozzi L, Donati L, Bracaglia M, Caruso A, Paradisi G. Spontaneous heterotopic pregnancy, simultaneous ovarian, and intrauterine: a case report. Case Rep Obstet Gynecol. 2012;2012:509694.

Bright DA, Gaupp FB. Heterotopic pregnancy: a reevaluation. J Am Board Fam Pract. 1990 Apr-Jun;3(2):125–8.

Xiao HM, Gong F, Mao ZH, Zhang H, Lu GX. Analysis of 92 ectopic pregnancy patients after in vitro fertilization and embryo transfer. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2006 Aug;31(4):584–7.

Alsunaidi M. An unexpected spontaneous triplet heterotopic pregnancy. Saudi Med J. 2005;26:136–8.

Jeong H, Park I, Yoon S, Lee N, Kim H, Park S. Heterotopic triplet pregnancy with bilateral tubal and intrauterine pregnancy after spontaneous conception. Eur J Obstet Gynecol. 2009;142:161–2.

Hassani KI, Bouazzaoui AE, Khatouf M, Mazaz K. Heterotopic pregnancy: A diagnosis we should suspect more often. J Emerg Trauma Shock. 2010 Jul-Sep;3(3):304.

Dündar O, Tütüncü L, Müngen E, Muhcu M, Yergök YZ. Heterotopic pregnancy: tubal ectopic pregnancy and monochorionic monoamniotic twin pregnancy: a case report. Perinat J. 2006;14:96–100.

Callen PW. Ultrasonography in obstetrics and gynecology. In: Levine D (ed): Ectopic Pregnancy, 5th ed. Philadelphia: Saunders Elsevier; pp. 1020–47.

Bourgon DR. Ectopic pregnancy. eMedicine. Available from: http://www.emedicine.com/radio/topic231.htm

Lialios GA, Kallitsaris A, Kabisios T, Messinis IE. Ruptured heterotopic interstitial pregnancy: rare case of acute abdomen in a Jehovah’s witness patient. Fertil Steril. 2008;90(1200):e15–7.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 Journal of Pharmaceutical and Biomedical Sciences

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.