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Abhishek Mishra
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
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Sushila Gaire
Pokhara Academy of Health Sciences, Pokhara, Kaski, Nepal
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Bipana KC
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
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Pradeep Mahat
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
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Jeevan Neupane
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
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Mandip Chaubey
Nepal Bharat Maitri Hospital, Kathmandu, Nepal
Keywords:
acute abdomen, ectopic pregnancy, heterotopic pregnancy, laparotomy
Abstract
Heterotopic pregnancy is a rare condition when at least two pregnancies are present simultaneously at different implantation sites and only one is located in the uterine cavity. The majority of cases are diagnosed in the first trimester. Heterotopic gestation is very rare in natural conception. A high index of suspicion is required for timely diagnosis and appropriate intervention. We report a case of heterotopic pregnancy in a 26-year-old woman presented with hemoperitoneum from ruptured tubal pregnancy with live intrauterine gestation at 8 weeks of amenorrhea, diagnosed on ultrasound examination. She underwent exploratory laparotomy with right salpingectomy and post-operative period was uneventful.
Author Biographies
Abhishek Mishra, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
Resident, Department of General Practice & Emergency Medicine
Sushila Gaire, Pokhara Academy of Health Sciences, Pokhara, Kaski, Nepal
Resident, Department of Gynaecology & Obstetrics
Bipana KC, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
Resident, Department of General Practice & Emergency Medicine
Pradeep Mahat, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
Resident, Department of General Practice & Emergency Medicine
Jeevan Neupane, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
Resident, Department of General Practice & Emergency Medicine
Mandip Chaubey, Nepal Bharat Maitri Hospital, Kathmandu, Nepal
