Heterotopic pregnancy, a hidden hazard of intrauterine pregnancy

Abstract

Heterotopic pregnancy (HP) is the occurrence of an extrauterine pregnancy simultaneously with an intrauterine pregnancy. It is a rare event, with an incidence of 1:3.889. Complications of extrauterine pregnancy range from acute abdominal pain to hemorrhagic shock and other life-threatening consequences. Herein, we report the case of a gravid 1 para 0 woman with heterotopic pregnancy who underwent right salpingectomy.

Keywords

• Ectopic; heterotopic; pregnancy; salpingectomy

References

1. Bello, G.V., Schonholz, D., Moshirpur, J., Jeng, D.J., Berkowitz, R.L., 1986. Combined pregnany. The Mount Sinai experience. Obstet. Gynecol. Surg. 41, 603-613.
2. Chama, C.M., Obed, J.Y., Ekanem, I.A., 2001. Transvaginal ultrasounds scan versus laparoscopy in the diagnosis of suspected ectopic pregnan- cy. J. Obstet. Gyneco. 21, 184-186.
3. Clausen, I., 1996. Conservative versus radical surgery for tubal pregnancy: A review. Acta. Obstet. Gynecol. Scand. 75, 8-12.
4. DeVoe, R.E., Pratt, J.H., 1948. Simultaneous intrauterine and extrauterine pregnancy. Am. J. Obstet. Gynecol. 56, 1119.
5. Govindarajan, M.J., Rajan, R., 2008. Heterotopic pregnancy in natural conception. J. Hum. Reprod. Sci. 1, 37.
6. Hassiakos, D., Bakas, P., Pistofidis, G., Creatsas, G., 2002. Heterotopic pregnancy at 16 weeks of gestation after in-vitro fertilization and embryo transfer. Arch. Gynecol. Obstet. 266, 124-125.
7. Jeong, H., Park, I., Yoon, S., Lee, N., Kim, H., Park, S., 2009. Heterotopic triplet pregnancy with bilateral tubal and intrauterine pregnancy after spontaneous conception. Eur. J. Obstet. Gynecol. 142, 161-162.
8. Jerrard, D., Tso, E., Salik, R., Barish, R.A., 1992. Unsuspected heterotopic pregnancy in a woman without risk factors. Am. J. Emer. Med. 10, 58–60 .

9. Marcus, S.F., Macnamee, M., Brinsden, P., 1995. Heterotopic pregnancies after in vitro fertilization and embryo transfer. Hum. Repro. 10, 1232- 1236.
10. Reece, E.A., Petrie, R.H., Sirmans, M.F., Finster, M., Todd, W.D., 1983. Combined intrauterine and extrauterine gestations: A review. Am. J. Obstet. Gynecol. 146, 323-330.
11. Rizk, B., Tan, S.L, Morcos, S., Riddle, A., Brinsden, P., Mason, B.A., Edwards, R.G., 1991. 1991. Heterotopic pregnancies after in vitro fertil- ization and embryo transfer. Am. J. Obstet. Gynecol. 164, 161.
12. Scheiber, M.D., Cedars, M.I., 1999. Successful non-surgical management of a heterotopic abdominal pregnancy following embrio transfer with cryopreserve-thawed embriyos. Hum. Reprod. 14,1375-1377.
13. Seeber, B. E., Barnhart, K.T., 2006. Suspected ectopic pregnancy. Obstet Gynecol. 107, 399.
14. Shojai, R., Chaumoitre, K., Chau, C., Panuel, M., Boubli, L., d’Ercole, C., 2007. Advanced combined abdominal and intrauterine pregnancy: A case report. Fetal Diagn Ther. 22, 12.
15. Tal, J., Haddad, S., Gordon, N., Timor-Tritsch, I., 1996. Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: A literature review from 1971 to 1993. Fertil. Steril. 66, 1-12.