Abstract
Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extrauterine pregnancies occur at the same time. The occurrence of an ovarian heterotopic pregnancy is a singular event as it comprises only 2.3% of all heterotopic pregnancies, extremely rare among women who conceive naturally. A case of a 28-year old patient was treated for spontaneously conceived heterotopic pregnancy. The patient was admitted to our center with lower abdominal pain and amenorrhoea. A transvaginal ultrasound scan showed an ovarian and an intrauterine heterotopic pregnancy. This was managed laparoscopically. Considering spontaneous pregnancies, every physician treating women of reproductive age should be aware of the possibility of heterotopic pregnancy. It can occur in the absence of any predisposing risk factors; only with an early diagnosis and treatment the intrauterine pregnancies will reach viability with a great chance of a favorable obstetric outcome.
Highlights
Heterotopic pregnancy (HP) is defined as the simultaneous presence of intrauterine (IUP) and ectopic pregnancy (EP)
This raised frequency has been attributed to several factors including higher incidence of pelvic inflammatory disease (PID) and the extended use of assisted reproductive technologies (ARTs)
In this report we present a case with a spontaneous ovarian HP; seven similar cases previously reported in the literature have been reviewed
Summary
Heterotopic pregnancy (HP) is defined as the simultaneous presence of intrauterine (IUP) and ectopic pregnancy (EP). Ovarian EPs by themselves are uncommon, accounting for only 1–3% of all ectopic pregnancies [2]. In the last decades there has been a significant increase of ectopic pregnancy and a subsequent increase of HP. This raised frequency has been attributed to several factors including higher incidence of pelvic inflammatory disease (PID) and the extended use of assisted reproductive technologies (ARTs). The management of HP is surgery, consisting on the removal of the EP. There have been many reports of using laparoscopy for the management. In this report we present a case with a spontaneous ovarian HP; seven similar cases previously reported in the literature have been reviewed
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