title: Heterotopic pregnancy with spontaneous vaginal delivery at 36 weeks and laparotomy at term--a case report.
abstract: Heterotopic pregnancy, although rare, is occurring more frequently because of an increase in genital infection and the escalating use of new reproductive technologies in infertility patients. The case of a 30-year-old para 2 + 1 prophetess is presented. She had a spontaneous vaginal delivery at term. Persistent abdominal pain and distension led to suspicion of heterotopic pregnancy. This was confirmed by ultrasonography. Laparotomy revealed a macerated fetus in the peritoneal cavity The purpose of this report is to sensitise practitioners about the reality and existence of the condition.
authors.affiliation: Department of Obstetrics and Gynaecology, Nigerian Christian Hospital, Aba, Nigeria.
authors.forename: Chisara C
authors.initials: CC
authors.lastname: Umezurike
authors.forename: Paul A
authors.initials: PA
authors.lastname: Feyi-Waboso
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007813:Laparotomy; D009321:Natural Childbirth; D010298:Parity; D011247:Pregnancy; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D011269:Pregnancy, Abdominal / Q000000981:diagnostic imaging* / Q000601:surgery*; D011272:Pregnancy, Multiple; D018570:Risk Assessment; D016896:Treatment Outcome; D014427:Twins; D016216:Ultrasonography, Prenatal