Abstract
Spontaneous Heterotopic Triplet Pregnancy with Tubal Ruptured Ectopic Gestation
Highlights
Email: A 29-year-old woman presented to the emergency department with a complaint of sudden onset of right-sided lower abdominal pain in the setting of a recent positive home pregnancy test. Her last known menstrual period was 10 weeks days prior to her presentation. She had no history of pelvic inflammatory disease or fertility treatment
In the case of tubal heterotopic pregnancy, diagnosis is often made after tubal rupture and presentation with an acute abdomen, with few cases reported having been diagnosed prior to this [2]
Vaginal bleeding is commonly absent in the clinical setting of heterotopic pregnancy presenting as tubal ectopic pregnancy, adding to the complexity of clinical diagnosis [3]
Summary
A 29-year-old woman (gravida 1 para 0) presented to the emergency department with a complaint of sudden onset of right-sided lower abdominal pain in the setting of a recent positive home pregnancy test. Her last known menstrual period was 10 weeks days prior to her presentation. She had no history of pelvic inflammatory disease or fertility treatment. The right adnexa showed a mixed echogenic predominantly hyperechoic mass measuring approximately 6.8x 4.6cm. Ultrasonographic evidence of hemoperitoneum was present with a mild amount of free fluid within the pelvis (Figure 1 & 2)
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