Heterotopic pregnancy, a hidden hazard of intrauterine pregnancy

Heterotopic pregnancy, a hidden hazard of intrauterine pregnancy

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.

___

  • 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.
  • 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.
  • Clausen, I., 1996. Conservative versus radical surgery for tubal pregnancy: A review. Acta. Obstet. Gynecol. Scand. 75, 8-12.
  • DeVoe, R.E., Pratt, J.H., 1948. Simultaneous intrauterine and extrauterine pregnancy. Am. J. Obstet. Gynecol. 56, 1119.
  • Govindarajan, M.J., Rajan, R., 2008. Heterotopic pregnancy in natural conception. J. Hum. Reprod. Sci. 1, 37.
  • 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.
  • 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.
  • 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 .
  • Marcus, S.F., Macnamee, M., Brinsden, P., 1995. Heterotopic pregnancies after in vitro fertilization and embryo transfer. Hum. Repro. 10, 1232- 1236.
  • 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.
  • 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.
  • 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.
  • Seeber, B. E., Barnhart, K.T., 2006. Suspected ectopic pregnancy. Obstet Gynecol. 107, 399.
  • 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.
  • 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.