title: Hypovolemic shock following induced abortion and spontaneous heterotopic pregnancy.
abstract: Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extrauterine pregnancies occur at the same time. It is rare, estimated to occur in 1 in 30,000 pregnancies. The case was a 38-year-old woman with spontaneously conceived heterotopic pregnancy. She was admitted to our center with hypovolemic shock. Focused assessment sonography for trauma examination in emergency department showed large amount of free fluid in peritoneal cavity. She was managed surgical laparotomy. Considering spontaneous pregnancies, physician should be aware of the possibility of heterotopic pregnancy in all reproductive age women, especially those with history of recent abortion. It can occur without any predisposing risk factors. Patients should be informed about possible side effects of nonprescription medicines, and also the health care centers must be safe peaceful environment for them without severe legal consequences.
authors.affiliation: Department of Emergency Medicine, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Abdolghader
authors.initials: A
authors.lastname: Pakniyat
authors.affiliation: Department of Emergency Medicine, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Arash
authors.initials: A
authors.lastname: Yazdanbakhsh
authors.affiliation: Department of Emergency Medicine, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Ghasem
authors.initials: G
authors.lastname: Moshar-Mowahed
authors.affiliation: Department of Emergency Medicine, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Fatimah
authors.initials: F
authors.lastname: Talebi
keywords: Abortion; heterotopic pregnancy; hypovolemic shock
references.citation: Fertil Steril. 2007 Feb;87(2):417.e9-15
references.pmid: 17074353
references.citation: J Ultrasound Med. 2000 May;19(5):355
references.pmid: 10811414
references.citation: Fertil Steril. 1996 Jul;66(1):1-12
references.pmid: 8752602
references.citation: Asia Oceania J Obstet Gynaecol. 1994 Mar;20(1):25-9
references.pmid: 8172523
references.citation: J Reprod Med. 1990 Feb;35(2):175-8
references.pmid: 2406440
references.citation: J Hum Reprod Sci. 2008 Jan;1(1):37-8
references.pmid: 19562064
references.citation: J Obstet Gynaecol. 2011;31(1):7-12
references.pmid: 21280985
references.citation: Arch Gynecol Obstet. 2002 Jul;266(3):124-5
references.pmid: 12197547