A Rare Phenomenon Spontaneous Heterotropic Pregnancy: Case Report

Year 2024, Volume: 34 Issue: 5, 740 - 742, 30.10.2024

Osman Yıldırım

https://doi.org/10.54005/geneltip.1423937

Abstract

Abstract
Introduction: Heterotopic pregnancy is a rare condition accompanied by intrauterine and ectopic pregnancy.
Case: Intrauterine pregnancy and a suspicious ectopic focus were observed in a thirty-seven-year-old patient with no risk factors who presented with menstrual delay. The ectopic pregnancy was successfully removed by surgery to preserve the uterine pregnancy.
Discussion: This case report discusses the importance of early diagnosis and management of heterotopic pregnancy to avoid both fetal and maternal morbidity and mortality.
Conclusion: It is important to evaluate the adnexia along with the uterus in determining pregnancy in patients presenting with menstrual delay. Additionally, laparoscopy is a reliable option in the treatment of heterotropic pregnancy.

Keywords

Ectopic pregnancy, Heterotropic pregnancy, Laparoscopy, Transvaginal ultrasonography

References

• Siraj, S., W. Wee-Stekly, and B. Chern, Heterotopic pregnancy in a natural conception cycle presenting as acute abdomen: a case report and literature review. Gynecology and Minimally Invasive Therapy, 2014. 3(3): p. 100-102.
• Maleki, A., et al., The rising incidence of heterotopic pregnancy: current perspectives and associations with in-vitro fertilization. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2021. 266: p. 138-144.
• Farnaghi, S. and A. Kothari, Heterotopic pregnancy: a report of two cases. Australasian Journal of Ultrasound in Medicine, 2013. 16(1): p. 30-36.
• Jeon, J.H., et al., The risk factors and pregnancy outcomes of 48 cases of heterotopic pregnancy from a single center. Journal of Korean medical science, 2016. 31(7): p. 1094-1099.
• Wu, Z., et al., Clinical analysis of 50 patients with heterotopic pregnancy after ovulation induction or embryo transfer. European Journal of Medical Research, 2018. 23(1): p. 1-9.
• Oron, G. and T. Tulandi, A pragmatic and evidence-based management of ectopic pregnancy. Journal of minimally invasive gynecology, 2013. 20(4): p. 446-454.
• Chukus, A., et al., Uncommon implantation sites of ectopic pregnancy: thinking beyond the complex adnexal mass. Radiographics, 2015. 35(3): p. 946-959.
• Oancea, M., et al., Spontaneous heterotopic pregnancy with unaffected intrauterine pregnancy: systematic review of clinical outcomes. Medicina, 2020. 56(12): p. 665.
• Talbot, K., et al., Heterotopic pregnancy. Journal of Obstetrics and Gynaecology, 2011. 31(1): p. 7-12.
• Barrenetxea, G., et al., Heterotopic pregnancy: two cases and a comparative review. Fertility and sterility, 2007. 87(2): p. 417. e9-417. e15.
• Eom, J.M., et al., Surgical and obstetric outcomes of laparoscopic management for women with heterotopic pregnancy. Journal of Obstetrics and Gynaecology Research, 2013. 39(12): p. 1580-1586.
• Martin, J.A., B.E. Hamilton, and M.J. Osterman, Three decades of twin births in the United States, 1980-2009. 2012.