Heterotopic pregnancy in a natural conception cycle. A case report.
We report a case of combined intrauterine and tubal pregnancy in a 32 year old para. The patient presented at the Gynaecological emergency unit, with lower abdominal pain, and vaginal bleeding. A pelvic scan confirmed an intrauterine pregnancy. While being managed as a case of threatened abortion, her condition deteriorated and the likelihood of an ectopic pregnancy was entertained. A repeat scan revealed significant peritoneal collection. suggestive of haemoperitoneum, and laparotomy confirmed heterotopic pregnancy. She had a right salpingectomy without complications. The patient had a supervised antenatal care and safe delivery of the intrauterine pregnancy.
Department of Obstetrics & Gynaecology, Federal Medical Centre, PMB 037, Gombe, Nigeria.
A U
AU
El-Nafaty
G S
GS
Melah
A A
AA
Massa
U R
UR
Yahaya
M
M
Bukar
D D
DD
Kizaya
D000328:Adult; D003906:Developing Countries; D005260:Female; D005306:Fertilization; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008597:Menstrual Cycle; D009549:Nigeria; D011247:Pregnancy / Q000502:physiology*; D011256:Pregnancy Outcome; D018607:Pregnancy Reduction, Multifetal / Q000379:methods*; D011272:Pregnancy, Multiple; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging*; D018570:Risk Assessment; D016216:Ultrasonography, Prenatal