Abstract
Heterotopic pregnancy is defined as a condition when intrauterine and extrauterine pregnancy occur simultaneously. It is a life-threatening condition that requires immediate and accurate diagnostics and treatment. We present a case of a 28-year-old primigravida female who conceived spontaneously and at her seventh week of gestation and was presented to the emergency department with weakness and acute pain in lower abdomen. Laboratory tests and transvaginal ultrasonography revealed the diagnosis of heterotopic pregnancy. Urgent laparoscopic salpingotomy was chosen as a treatment option. The ectopic pregnancy was successfully removed with the preservation of the intrauterine embryo and fallopian tubes. The course of pregnancy after the surgery was without complications, and a healthy baby was delivered at the 39th week of gestation. When treated properly and on time, a heterotopic pregnancy can result in live childbirth with favorable outcomes for both the child and the mother.
Highlights
Heterotopic pregnancy (HP) was first described in 1708 by Duverney
HP is a life-threatening condition that may lead to complications such as the rupture of an ectopic pregnancy (EP) and the loss of the intrauterine (IU) embryo after treatment [5]
We report a case of a spontaneous HP in a 28-year-old patient with the successful treatment of an EP
Summary
Heterotopic pregnancy (HP) was first described in 1708 by Duverney. It is defined as a rare condition when intrauterine and extrauterine gestations coexist. The theoretically calculated incidence of a spontaneous HP is approximately 1 in 30,000 [1], while some risk factors increase the frequency up to 1 in 100 [2,3,4]. HP is a life-threatening condition that may lead to complications such as the rupture of an ectopic pregnancy (EP) and the loss of the intrauterine (IU) embryo after treatment [5]. We report a case of a spontaneous HP in a 28-year-old patient with the successful treatment of an EP with the preservation of fallopian tubes and the IU embryo, which resulted in a spontaneous delivery
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