Publication: Heterotopic pregnancy with spontaneous intrauterine conception: A rare clinical entity with diagnostic dilemma
Date
2008
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
Twenty-one years old primigravida presented to emergency with amenorrhoea for 2 months and complaints of
severe abdominal pain for few hours. The pain was associated with 2 episodes of fainting attacks in emergency
during the period of observation. Viable intrauterine pregnancy of 8-9 weeks along with collection of fluid in the
Pouch of Douglas was detected by ultrasound examination and on laparotomy ectopic pregnancy was confirmed
with haemoperitoneum of 2 litres with 500gms of clots. Histopathology report confirmed the tubal ectopic
pregnancy and postlaparotomy, transvaginal sonography confirmed the salvage of the intrauterine pregnancy.
Despite massive haemoperitoneum, the pregnancy continued till 40+6 weeks with uneventful antenatal period. She
underwent emergency caesarean section for meconium stained liquor with foetal distress and delivered of an alive
healthy female of 2.5 kg with good Apgar score.
Key words: Ectopic, Heterotopic pregnancy
Description
Rawal S1, Koirala P2, Singh M3, Rana A4
1Lecturer, 2Post Graduate Student, 3Associate Professor, 4 Professor, Department of Obstetrics and Gynaecology, Tribhuvan University Teaching Hospital,Kathmandu, Nepal