Abstract
Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extra uterine pregnancies occur at the same time. It can be a life threatening condition and can be easily missed with the diagnosis being overlooked. We are presenting the case of a 24 year old Para 2+1 young female who presented with pain abdomen and vomiting after an induced abortion. Ultrasonography revealed intrauterine embryo of 7- 8 weeks without cardiac activity suggesting missed abortion and, with right adenexal mass about (7 x 6) cm adhered to the uterus with free fluid in pouch of Douglas. The patient presented acutely with a ruptured tubal pregnancy and this was managed by laparotomy. 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.
Highlights
Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extra uterine pregnancies occur at the same time
We are presenting the case of a 24 year old Para 2+1 young female of rural area in eastern India who presented with pain abdomen and vomiting
Ectopic pregnancy is defined as pregnancy that implants outside the uterine cavity
Summary
Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extra uterine pregnancies occur at the same time. The incidence of heterotopic pregnancy is very low and spontaneous heterotopic pregnancies are quite rare. Heterotopic pregnancies are becoming more common following assisted reproductive techniques for subfertility and increased incidence of pelvic inflammatory disease. It is known to present with a variety of symptoms and signs often leading to delay in establishing the correct diagnosis. It can be a life threatening condition if the diagnosis is missed or delayed. We are presenting a heterotopic pregnancy who presented with pain abdomen after an induced abortion by medical method
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