Document Detail

Ruptured spontaneous heterotopic pregnancy.
MedLine Citation:
PMID:  20383426     Owner:  NLM     Status:  MEDLINE    
The coexistence of intrauterine and ectopic pregnancy (heterotopic pregnancy) occurs in 1/30,000 of spontaneous pregnancies, 1/900 in Clomiphene citrate induced pregnancies and rises to 1% in assisted reproduction. It is a life-threatening condition with diagnostic and therapeutic complexities. There is strong association between infertility and ectopic pregnancy. Risk factors for ectopic pregnancy are past history, assisted reproduction, and adhesions due to pelvic infection or surgery. Our patient was diagnosed initially as having an intrauterine singleton pregnancy, with urinary tract infection. At presentation pain out of proportion to primary diagnosis led to urgent ultrasonographic review that diagnosed heterotopic pregnancy. It was followed by laparoscopic salpingectomy. Human chorionic gonadotrophin (HCG) after laparoscopy in the subsequent days along with a sonographic evaluation revealed a viable intrauterine pregnancy. This ended in missed miscarriage and medical expulsion at 16 weeks of gestation. Issues discussed here are rarity, delayed, or misdiagnosis with its sequel.
Khurram A Bhatti; Zainab H Babay; Salwa M Neyazi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Saudi medical journal     Volume:  31     ISSN:  0379-5284     ISO Abbreviation:  Saudi Med J     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-12     Completed Date:  2010-08-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909441     Medline TA:  Saudi Med J     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  445-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, King Khalid University and Hospital, Riyadh, Kingdom of Saudi Arabia.
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MeSH Terms
Delayed Diagnosis*
Pregnancy Outcome
Pregnancy, Multiple*
Pregnancy, Tubal / diagnosis*,  surgery
Rupture, Spontaneous
Saudi Arabia

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