A Unique Case Report of Heterotopic Pregnancy | [Journal of Islamabad Medical & Dental College • 2023]

Author(s):

1. Saba Khilji: Department of Radiology, Dr. Akbar Nizai Teaching Hospital,Islamabad,Pakistan

2. Wajeeha Anum: Department of Radiology, Dr. Akbar Nizai Teaching Hospital,Islamabad,Pakistan

3. Mehwish Tabassum: Department of Radiology, Dr. Akbar Nizai Teaching Hospital,Islamabad,Pakistan

4. Aleena Tahir: Department of Radiology, Dr. Akbar Nizai Teaching Hospital,Islamabad,Pakistan

5. Manal Niazi: Department of Radiology, Dr. Akbar Nizai Teaching Hospital,Islamabad,Pakistan

6. Naeemah: Department of Radiology, Dr. Akbar Nizai Teaching Hospital,Islamabad,Pakistan

Abstract:

Heterotopic pregnancy, characterized by simultaneous intrauterine and extra uterine pregnancies, is a rare but potentially life-threatening condition. Its incidence has increased, attributed to factors such as pelvic inflammatory disease, and assisted reproductive technologies. We present a case of spontaneous heterotopic pregnancy in a 28-year-old woman with lower abdominal pain. Initial examination revealed a ruptured left tubal ectopic pregnancy alongside a live intrauterine pregnancy. Prompt diagnosis via transvaginal ultrasonography led to emergency laparotomy, confirming sonographic findings. The ruptured ectopic pregnancy was successfully removed, preserving intrauterine gestation. Follow-up ultrasounds demonstrated a progressing intrauterine pregnancy. This case underscores the diagnostic challenges and emphasizes the importance of early recognition and intervention in heterotopic pregnancies, especially in the absence of predisposing risk factors. Increased awareness, thorough pelvic examination, and close follow-up are crucial for optimal outcomes in both pregnancies.

Page(s): 360-364

DOI: 10.35787/jimdc.v11i4.1069

Published: Journal: Journal of Islamabad Medical & Dental College, Volume: 12, Issue: 4, Year: 2023

Keywords:

Laparotomy , ectopic pregnancy , transvaginal ultrasound , Heterotrophic pregnancy

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