A RARE CASE OF SPONTANEOUS OVARIAN HETEROTOPIC PREGNANCY
Abstract
Heterotopic pregnancy is a condition where both an intrauterine and ectopic pregnancy coexists. Ovarian heterotopic pregnancy constitutes only 2.3 percent of all heterotopic pregnancies. A 29 year old G2P1L1 who conceived spontaneously was admitted with abdominal distension and vomiting. Ultrasound was done and a diagnosis of heterotopic pregnancy was made and she was managed by laparotomy and left oophorectomy. The intrauterine pregnancy progressed to term and she delivered a healthy male baby. Early diagnosis and timely intervention are needed for a favourable obstetric outcome.
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Bright DA, Craupp FB. Heterotopic pregnancy: a re-evaluation. J Am Board Fam Pract. 1990; 3: 125-128.
Yovich JL, McColm SC, Turner SR, Matson PL. Heterotopic pregnancy from in vitro fertilization. Journal of in vitro fertilization and embryo transfer. 1985 Sep 1;2(3):146-50.
Barrenetxea G, Barinaga-Rementeria L, de Larruzea AL, Agirregoikoa JA, Mandiola M, Carbonero K. Heterotopic pregnancy: two cases and a comparative review. Fertility and Sterility. 2007 Feb 28; 87(2):417-e9.
Lyons EA, Levi CS, Sidney M. in: Dashefsky in Diagnostic Ultrasound. Vol.2. 2nd ed. Mosby ; 1998 : 999.
Deka, Deepika, Bahadur, Anupama, Singh, Aprajita et al. Successful management of heterotopic pregnancy after fetal reduction using potassium chloride and methotrexate. J Hum Reprod Sci. 2012; 5: 57–60.
Reece EA, Petrie RH, Sirmans MF, Finster M, Todd WD. Combined intrauterine and extra uterine gestations: a review. Amer J Obstet Gynecol. 1983; 146: 323–330.
Basile, Francesca, Di Cesare, Cristina, Quagliozzi, Lorena et al. Spontaneous heterotopic pregnancy, simultaneous ovarian, and intrauterine: a case report. Case Rep Obstetrics Gynecol. 2012; : 4 (Article ID 509694)
Kamath MS, Aleyamma TK, Muthukumar K, Kumar RM, George K. A rare case report: ovarian heterotopic pregnancy after in vitro fertilization. Fertility and sterility. 2010 Oct 31; 94(5):1910-e9.
Tal J, Haddad S, Gordon N, Timor-Tritsch I. Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: a literature review from 1971 to 1993. Fertility and sterility. 1996 Jul; 66(1):1-2.
Yen MS, Wang PH. Primary ovarian ectopic pregnancy. J Am Assoc Gynecol Laparosc. 2004; 11: 287–288.
Nguyen-Tran C, Toy EC. Case 3: obstetrical. Heterotopic pregnancy: viable twin intrauterine pregnancy with a viable right tubal ectopic pregnancy. Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine. 2000 May; 19(5):355.
Spiegelberg, O. Casuistry in ovarian pregnancy. Arch Gynecol Surv. 1878; 13: 73–79.
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