A case of heterotopic pregnancy in the absence of risk factors. A brief literature review.
OBJECTIVE
To reinforce the risk of heterotopic pregnancy in a natural cycle when intrauterine pregnancy and abdominal pain co-exist.


METHODS
A single case report with a literature review.


RESULTS
Our case was associated with significant haemorrhage, laparotomy and salpingectomy. The obstetric outcome was favourable in this case. The literature review demonstrates the diagnostic difficulties as well as treatment options.


CONCLUSIONS
Sonographic diagnosis of a heterotopic pregnancy is not always possible. Patients with abdominal pain and intrauterine pregnancy should heighten the clinician's suspicion of a heterotopic pregnancy.
Anastasakis
Eleftherios
E
First Department of Obstetrics and Gynaecology, Alexandra Maternity Hospital, Athens University, Athens, Greece. loufty28@yahoo.gr
Jetti
Anand
A
Macara
Lena
L
Daskalakis
George
G
D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000209:etiology*; D000290:Adnexa Uteri / Q000000981:diagnostic imaging*; D000328:Adult; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D050498:Live Birth; D011247:Pregnancy; D018607:Pregnancy Reduction, Multifetal; D011274:Pregnancy, Tubal / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D012307:Risk Factors; D012422:Rupture, Spontaneous / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology; D016216:Ultrasonography, Prenatal