title: Heterotopic pregnancy in a large inner-city hospital: a report of two cases.
abstract: While ectopic pregnancy is a common occurrence, especially in the nonwhite female patient population, heterotopic pregnancy has traditionally been regarded as a rare clinical event until recently, especially with the advent of assisted reproductive procedures. We reported two cases, one in which an intrauterine pregnancy was discovered after a diagnosis of tubal abortion, another in which a patient underwent laparotomy for a tubal ectopic pregnancy with a concomitant previously diagnosed intrauterine pregnancy. The first patient subsequently delivered at term, while the second was lost to follow-up. In both cases, there was a delay in detecting the ectopic pregnancy component. These cases suggest that the clinician maintain a reasonable index of suspicion while evaluating a patient presenting with pelvic pain in the face of a documented intrauterine pregnancy. They also demonstrate the need for prompt and immediate action at the first sign indicating ectopic pregnancy to avoid missing this potentially life-threatening condition.
authors.affiliation: Meharry Medical College, The King's Daughters Hospital, Greenville, Mississippi, USA.
authors.forename: James D
authors.initials: JD
authors.lastname: Perkins
authors.forename: Mark R
authors.initials: MR
authors.lastname: Mitchell
mesh_terms: D000328:Adult; D004219:District of Columbia; D005260:Female; D006786:Hospitals, Urban; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D011274:Pregnancy, Tubal / Q000175:diagnosis*