title: [Combined pregnancy: a case report and literature review].
abstract: Combined or heterotopic pregnancy has been regarded as extremely rare in the past three decades. If it continues without diagnosis, a life-threatening situation may occur. A case of eight-week gestation is presented in which there was threatened abortion. The patient underwent exploratory laparotomy for internal bleeding. Upon operation, combined pregnancy, with a ruptured ectopic pregnancy, was diagnosed. Left salpingectomy was performed uneventfully. Neither chronic salpingitis nor administration of ovulation-induction agents was part of past history. A viable ongoing intrauterine pregnancy continued after operation, and a normal male was delivered by cesarean section after a 39-week gestation where labor progressed too slowly for normal delivery.
authors.affiliation: Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital.
authors.forename: H M
authors.initials: HM
authors.lastname: Shih
authors.forename: Y T
authors.initials: YT
authors.lastname: Li
authors.forename: K C
authors.initials: KC
authors.lastname: Yeh
authors.forename: K P
authors.initials: KP
authors.lastname: Hsu
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000209:etiology / Q000601:surgery*