Heterotopic pregnancy.
A 35-year-old woman presented to the emergency department with abdominal pain 36 hours after a therapeutic abortion. A positive pregnancy test was thought to be related to the recently terminated intrauterine gestation. The patient was admitted for observation. When monitoring revealed intraabdominal hemorrhage, exploratory surgery was performed and a ruptured tubal pregnancy discovered. The patient recovered uneventfully. The incidence, predisposing factors, and diagnosis of simultaneous intrauterine and extrauterine pregnancy are discussed.
Boutiette
L A
LA
Department of Community Health, Emory University School of Medicine, Grady Memorial Hospital, Atlanta, Georgia.
Anderson
G V
GV
D000005:Abdomen; D000032:Abortion, Therapeutic; D000328:Adult; D005260:Female; D006801:Humans; D010146:Pain / Q000209:etiology*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery; D011274:Pregnancy, Tubal / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000601:surgery