Spontaneous heterotopic pregnancy leading to intrauterine abortion and subsequent ruptured ectopic pregnancy with a betahCG of 125 mlu/ml: a case report.
A case of heterotopic pregnancy after spontaneous conception with abortion of the intrauterine pregnancy and subsequent rupture of the ectopic pregnancy is presented. A 34-year-old woman at five weeks of gestation presented with a ruptured ectopic pregnancy after spontaneous abortion of an intrauterine pregnancy with mIU/ml beta3hCG as low as 125 mIU/ml. Close monitoring of betahCG and careful ultrasound examination together with patient consultation are extremely important in the management of heterotopic pregnancy, especially in cases of diagnostic uncertainness.
Trompoukis
P
P
3rd Department of Obstetrics and Gynecology, University of Athens, Attikon Hospital, Athens, Greece. ptrompoukis@yahoo.com
Chaidogiannos
C
C
Zourla
A
A
Grapsas
S
S
Salampasis
C
C
Papoulias
I
I
Kassanos
D
D
D000022:Abortion, Spontaneous; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood*; D005260:Female; D006801:Humans; D007813:Laparotomy; D010052:Ovariectomy; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*
D018997:Chorionic Gonadotropin, beta Subunit, Human