Abstract
Heterotopic pregnancy is a rare clinical condition in which intrauterine and extrauterine pregnancies occur at the same time. It can be a life threatening condition and easily missed with the diagnosis. We present the case of a 37 year old patient who was treated for a heterotopic pregnancy with live intrauterine gestation and ruptured left adnexal gestation.The ectopic pregnancy was not suspected at her initial presentation. A high index of suspicion is needed in women with risk factors for an ectopic pregnancy and in low risk women who have free fluid with or without an adnexal mass with an intrauterine gestation.It is difficult to estimate exactly the incidence of ectopic pregnancies, but on an average it is approximately 1:300 normal pregnancies worldwide.
References
2. Sameer Umranikar, Acute presentation of a heterotopic pregnancy following
3. spontaneous conception: a case report, www.casesjournal.com Amit Gupta, Heterotopic pregnancy: a case report, www.ijrcog.org
4. Mj G, RR. Heterotopic pregnancy in natural conception. J Hum Reprod Sci. 2008;1:37-8.
5. Hassani KI, Bouazzaoui AE, Khatouf M, Mazaz K. Heterotopic pregnancy: a diagnosis we should suspect more often. J Emerg Trauma Shock. 2010;3:304.
6. Reece EA, Petrie RH, Sirmans MF, Finster M, Todd WD. Combined intrauterine and extrauterine
7. Devoe RW, Pratt JH. Simultaneous intrauterine and extrauterine pregnancy. Am J Obstet Gynecol. 1948;56:1119-26.
8. www.whattoexpect.com/pregnancy/hcg level.
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